1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Chiropractor
  6. NPI Profile

NORTH MAPLE GROVE CHIROPRACTIC
NPI 1144634395
Chiropractor in Maple Grove, MN

Active since June 16, 2014
9505 BLACKOAKS LN NO., MAPLE GROVE, MN 55311(763) 420-4111(763) 420-4145 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About North Maple Grove Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH MAPLE GROVE CHIROPRACTIC (NPI 1144634395) is a healthcare organization registered as a chiropractor in Maple Grove, Minnesota and active in the NPI registry since June 2014. The organization lists John William Petersen, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1144634395
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSEN CHIROPRACTIC INC.
Location Address9505 BLACKOAKS LN NO.Maple Grove, MN 55311
Mailing Address9505 Blackoaks Ln NoMaple Grove, MN 55311 · (763) 420-4111 · Fax (763) 420-4145
Phone(763) 420-4111
Fax(763) 420-4145
Organization SubpartNo
Authorized OfficialJohn William PetersenChiropractor · (763) 420-4111
Enumeration DateJune 16, 2014
Last NPPES UpdateMarch 19, 2015
✔ NPI 1144634395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MN · 1764✔ Licensed in MN · 5767
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
9505 BLACKOAKS LN NO., Maple Grove, MN 55311
Open in Google Maps ↗

Other Names 1

Other NameNorth Maple Grove Chiropractic

Other Identifiers 1

Medicare UPIN350000648MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Maple Grove Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Maple Grove Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregory Petersen, D.C.
Chiropractic
NPI 1851631907
9505 BLACKOAKS LN N
Maple Grove, MN 55311
(763) 420-4111
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersen Chiropractic Inc.'s NPI number?

The NPI number for Petersen Chiropractic Inc. is 1144634395. It was assigned to this organization in the NPPES registry on June 16, 2014. The provider is also known as North Maple Grove Chiropractic.

Where is Petersen Chiropractic Inc. located?

Petersen Chiropractic Inc. is located at 9505 Blackoaks Ln No., Maple Grove, MN 55311. The listed phone number is (763) 420-4111.

What is Petersen Chiropractic Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Petersen Chiropractic Inc. enrolled in Medicare?

Yes. Petersen Chiropractic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petersen Chiropractic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Petersen Chiropractic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Petersen Chiropractic Inc. accept?

Health plans from HealthPartners list Petersen Chiropractic Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Petersen Chiropractic Inc. was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.