M PETERSEN CHIROPRACTIC CORPORATION INC
NPI 1487513305
Chiropractor in San Jose, CA

Active since January 16, 2026
1373 S BASCOM AVE, SAN JOSE, CA 95128(408) 288-8120 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About M Petersen Chiropractic Corporation Inc NPPES

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

M PETERSEN CHIROPRACTIC CORPORATION INC (NPI 1487513305) is a healthcare organization registered as a chiropractor in San Jose, California and active in the NPI registry since January 2026. The organization lists Max Gregory Petetsen, President, as its authorized official.

NPPES Registry Identity

NPI1487513305
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameM PETERSEN CHIROPRACTIC CORPORATION INC
Location Address1373 S BASCOM AVESan Jose, CA 95128-4507
Mailing Address1373 S Bascom AveSan Jose, CA 95128-4507 · (408) 288-8120
Organization SubpartNo
Authorized OfficialMax Gregory PetetsenPresident · (408) 314-9453
Enumeration DateJanuary 16, 2026
NPPES CertifiedJanuary 16, 2026
NPI 1487513305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1373 S BASCOM AVE, San Jose, CA 95128

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 6

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

Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor (Sports Physician)
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128
Chiropractor
1373 S BASCOM AVE
SAN JOSE, CA 95128

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 M Petersen Chiropractic Corporation Inc's NPI number?

The NPI number for M Petersen Chiropractic Corporation Inc is 1487513305. It was assigned to this organization in the NPPES registry on January 16, 2026.

Where is M Petersen Chiropractic Corporation Inc located?

M Petersen Chiropractic Corporation Inc is located at 1373 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 288-8120.

What is M Petersen Chiropractic Corporation Inc'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 M Petersen Chiropractic Corporation Inc was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.