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SPINE & SPORTS CHIROPRACTIC
NPI 1194922179
Chiropractor in Saint Paul, MN

Active since July 02, 2007
2216 COUNTY ROAD D W, SAINT PAUL, MN 55112(651) 639-1066(651) 630-1069 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spine & Sports Chiropractic NPPES

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

SPINE & SPORTS CHIROPRACTIC (NPI 1194922179) is a healthcare organization registered as a chiropractor in Saint Paul, Minnesota and active in the NPI registry since July 2007. The organization lists John Robert Petersen, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1194922179
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHN R. PETERSEN D.C. P.A.
Location Address2216 COUNTY ROAD D WSaint Paul, MN 55112-7500
Mailing Address2216 County Road D WSaint Paul, MN 55112-7500 · (651) 639-1066 · Fax (651) 630-1069
Phone(651) 639-1066
Fax(651) 630-1069
Organization SubpartNo
Authorized OfficialJohn Robert PetersenDoctor Of Chiropractic · (651) 639-1066
Enumeration DateJuly 2, 2007
Last NPPES UpdateDecember 3, 2008
✔ NPI 1194922179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4232
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.

2216 COUNTY ROAD D W, Saint Paul, MN 55112
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Other Names 1

Doing Business AsSpine & Sports Chiropractic

Other Identifiers 2

Medicare ID-Type UnspecifiedC03468MN
Other65M39SPMN · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL LAVERN MARISTUEN D.C.
Chiropractor
2216 COUNTY ROAD D W, SUITE B
SAINT PAUL, MN 55112
Ramsey County (651) 639-1066
DR. JOHN ROBERT PETERSEN D.C.
Chiropractor
2216 COUNTY ROAD D W
SAINT PAUL, MN 55112
Ramsey County (651) 639-1066
MICHAEL L. MARISTUEN D.C., P.A.
Chiropractor
2216 COUNTY ROAD D W, SUITE B
SAINT PAUL, MN 55112
Ramsey County (651) 639-1066

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 John R. Petersen D.C. P.A.'s NPI number?

The NPI number for John R. Petersen D.C. P.A. is 1194922179. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Spine & Sports Chiropractic.

Where is John R. Petersen D.C. P.A. located?

John R. Petersen D.C. P.A. is located at 2216 County Road D W, Saint Paul, MN 55112. The listed phone number is (651) 639-1066.

What is John R. Petersen D.C. P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for John R. Petersen D.C. P.A. was last updated on December 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.