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DR. JUSTIN JAMES PETERSEN D.C.
NPI 1245213008
Chiropractor in Kapolei, HI

Active since November 25, 2005
2176 LAUWILIWILI ST STE 5A, KAPOLEI, HI 96707(808) 425-7092 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin James Petersen D.c. NPPES

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

DR. JUSTIN JAMES PETERSEN D.C. (NPI 1245213008) is an individual chiropractor in Kapolei, Hawaii, licensed in Hawaii (DC1401) and active in the NPI registry since November 2005. He is a graduate of Other (2004).

NPPES Registry Identity

NPI1245213008
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JUSTIN JAMES PETERSENCredential: D.C.
Location Address2176 LAUWILIWILI ST STE 5AKapolei, HI 96707-1882
Mailing Address7007 Hawaii Kai Dr Apt C23Honolulu, HI 96825-3139 · (808) 426-8827
Phone(808) 425-7092
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 25, 2005
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1245213008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in HI · DC1401✔ Licensed in AK · 413✔ Licensed in ID · CHIA-1344✔ Licensed in AZ · 7633
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.
2176 LAUWILIWILI ST STE 5A, Kapolei, HI 96707
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin James Petersen D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779594791
PECOS Enrollment IDI20260420003327

Other Providers at the Same Location NPPES

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

MRS. SARAH DIERKING
Massage Therapist
2176 LAUWILIWILI ST STE 5A
KAPOLEI, HI 96707
Honolulu County (808) 425-7092

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 Justin Petersen's NPI number?

The NPI number for Justin Petersen is 1245213008. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Justin Petersen located?

Justin Petersen practices at 2176 Lauwiliwili St Ste 5A, Kapolei, HI 96707. The listed phone number is (808) 425-7092.

What is Justin Petersen's specialty?

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

Is Justin Petersen enrolled in Medicare?

Yes. Justin Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Justin Petersen accept?

Health plans from HMSA list Justin Petersen 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 Justin Petersen was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.