DR. JAMES BRADLEY DIETZ (D.C.) – Chiropractor, NPI 1881057651

DR. JAMES BRADLEY DIETZ (D.C.) is a healthcare provider. based in Forest lake, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 6194 (MN). The NPI Number for DR. JAMES BRADLEY DIETZ (D.C.) is 1881057651

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES BRADLEY DIETZ (D.C.)
NPI
1881057651
Phone
(651) 225-1102
Address
967 Lake St S
Enumeration Date
30 March 2016
Last Update Date
12 July 2018

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7634411701
Graduation Year
2015 (11 years ago)
PAC ID
0143578112
Group Practice PAC ID
5890795454
Professional Enrollment ID
I20180808000000
Address ID
MN553301992EL578XXNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. JAMES BRADLEY DIETZ (D.C.)

  • 967 Lake St S

    Forest Lake, MN 550252616

    Phone: (651) 225-1102

    Fax: (612) 977-1208

    Type: Location

  • 9401 James Ave S Ste 162

    Bloomington, MN 554312549

    Phone: (651) 225-1102

    Fax: (612) 977-1208

    Type: Location

  • 360 SHERMAN ST STE 400

    SAINT PAUL, MN 551022425

    Phone: (651) 225-1102

    Fax: (612) 977-1208

    Type: Mailing

  • 14001 Ridgedale Dr

    390

    Minnetonka, MN 553051753

    Phone: (952) 893-8900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180808000000IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions14729$0
View full utilization report →

Insurance plans in this area (ZIP 55025)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890795454View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for DR. JAMES BRADLEY DIETZ (D.C.)?
DR. JAMES BRADLEY DIETZ (D.C.) — NPI 1881057651 — is the standard way to identify this listing.
Is DR. JAMES BRADLEY DIETZ (D.C.) still practicing?
DR. JAMES BRADLEY DIETZ (D.C.) is currently listed as active in the public NPI registry.
What is DR. JAMES BRADLEY DIETZ (D.C.)'s primary classification?
Chiropractor is the headline specialty for DR. JAMES BRADLEY DIETZ (D.C.) here. Clinical services aligned with this taxonomy classification.
Where is DR. JAMES BRADLEY DIETZ (D.C.) based?
DR. JAMES BRADLEY DIETZ (D.C.) is tied to Forest Lake, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about DR. JAMES BRADLEY DIETZ (D.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

20843, Granada Avenue Court North, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1750387551
23315, Itasca Avenue North, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1598752859
Lake Street South, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1356338339
368, Lake Street South, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1619982022
824, Lake Street South, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1568479996
822, Lake Street South, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1972674620
20843, Granada Avenue Court North, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1346312147
707, West Broadway Avenue, Forest Lake, Washington County, Minnesota, 55025, United States
NPI: 1932273133