MR. DAN P BILDERBACK (DR) – Chiropractor, NPI 1891353678

MR. DAN P BILDERBACK (DR) is a healthcare provider. based in Saint paul, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DR. They hold a License No. 6629 (MN). The NPI Number for MR. DAN P BILDERBACK (DR) is 1891353678

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAN P BILDERBACK (DR)
NPI
1891353678
Phone
(651) 451-6839
Address
1633 ROBERT ST S STE B
Enumeration Date
5 June 2019
Last Update Date
5 June 2019

Doctor Profile

Medical School Name
NEW YORK CHIROPRACTIC COLLEGE
Secondary Phone
6514516839
Graduation Year
2019 (7 years ago)
PAC ID
2163754359
Group Practice PAC ID
8325223506
Professional Enrollment ID
I20191021001369
Address ID
MN551183219WE200XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for MR. DAN P BILDERBACK (DR)

  • 1633 ROBERT ST S STE B

    SAINT PAUL, MN 551183973

    Phone: (651) 451-6839

    Type: Location

  • 4640, Winnetka Avenue North, New Hope, Hennepin County, Minnesota, 55428, United States

    NEW HOPE, MN 554284933

    Phone: (715) 554-1763

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-10-21

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
I20191021001369IChiropracticMNTBD

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 regions11922$0
View full utilization report →

Insurance plans in this area (ZIP 55118)

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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: 8325223506View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What unique ID ties claims to MR. DAN P BILDERBACK (DR)?
NPI 1891353678 is assigned to MR. DAN P BILDERBACK (DR) under the national enumeration system.
Is MR. DAN P BILDERBACK (DR) active in the national directory?
MR. DAN P BILDERBACK (DR)'s public NPI profile is in an active state.
What does MR. DAN P BILDERBACK (DR) treat or focus on?
Patients typically see MR. DAN P BILDERBACK (DR) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for MR. DAN P BILDERBACK (DR)?
We surface Saint Paul, Minnesota for MR. DAN P BILDERBACK (DR) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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