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DR. JOHN ROBERT PETERSEN D.C.
NPI 1497973630
Chiropractor in Saint Paul, MN

Active since April 23, 2007
2216 COUNTY ROAD D W, SAINT PAUL, MN 55112(651) 639-1066(651) 639-1069 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Robert Petersen D.c. NPPES

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

DR. JOHN ROBERT PETERSEN D.C. (NPI 1497973630) is an individual chiropractor in Saint Paul, Minnesota, licensed in Minnesota (4232) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1497973630
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN ROBERT PETERSENCredential: D.C.
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) 639-1069
Phone(651) 639-1066
Fax(651) 639-1069
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateDecember 3, 2008
✔ NPI 1497973630 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 Identifiers 5

Medicare ID-Type Unspecified350003037MN
Other65M40PEMN · Blue Cross Blue Shield
Medicaid906459100MN
Other411508205MN · Hsm Preferred One
Medicare UPIN98296MN

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.

JOHN R. PETERSEN D.C. P.A.
Chiropractor
2216 COUNTY ROAD D W
SAINT PAUL, MN 55112
Ramsey County (651) 639-1066
DR. MICHAEL LAVERN MARISTUEN D.C.
Chiropractor
2216 COUNTY ROAD D W, SUITE B
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 Petersen's NPI number?

The NPI number for John Petersen is 1497973630. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is John Petersen located?

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

What is John Petersen'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 Petersen was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.