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DR. JOHN WILLIAM PETERSEN D.C.
NPI 1720110737
Chiropractor - Neurology in Maple Grove, MN

Active since March 12, 2007
12000 ELM CREEK BLVD N STE L70, MAPLE GROVE, MN 55369(763) 420-4111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John William Petersen D.c. NPPES

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

DR. JOHN WILLIAM PETERSEN D.C. (NPI 1720110737) is an individual neurology provider in Maple Grove, Minnesota, licensed in Minnesota (1764) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720110737
Entity TypeIndividualMale
Primary Taxonomy111NN0400X
Provider Legal NameDR. JOHN WILLIAM PETERSENCredential: D.C.
Location Address12000 ELM CREEK BLVD N STE L70Maple Grove, MN 55369-7167
Mailing Address12000 Elm Creek Blvd N Ste L70Maple Grove, MN 55369-7167 · (763) 420-4111
Phone(763) 420-4111
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720110737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NeurologyChiropractic Providers
Taxonomy Code111NN0400X
License✔ Licensed in MN · 1764
Definition
Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
12000 ELM CREEK BLVD N STE L70, Maple Grove, MN 55369
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Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

LYNN RENEE BORGMANN MA, LADC, LPC
Counselor (Mental Health)
12000 ELM CREEK BLVD N STE L70
MAPLE GROVE, MN 55369
Hennepin County (763) 898-3838
MRS. SHEANNE SCHERBER LADC
Counselor (Addiction (Substance Use Disorder))
12000 ELM CREEK BLVD N STE L70
MAPLE GROVE, MN 55369
Hennepin County (763) 898-3838
KATELYNN MAE NYBERG PA-C
Physician Assistant
12000 ELM CREEK BLVD N STE L70
MAPLE GROVE, MN 55369
Hennepin County (952) 431-5330
MEGAN NICOLE KUMMERLOWE D.O.
Psychiatry & Neurology (Psychiatry)
12000 ELM CREEK BLVD N STE L70
MAPLE GROVE, MN 55369
Hennepin County (952) 431-5330
INDIGENOUS CIRCLES COUNSELING CENTER
Clinic/Center (Adult Mental Health)
12000 ELM CREEK BLVD N STE L70
MAPLE GROVE, MN 55369
Hennepin County (612) 910-7194

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 1720110737. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is John Petersen located?

John Petersen practices at 12000 Elm Creek Blvd N Ste L70, Maple Grove, MN 55369. The listed phone number is (763) 420-4111.

What is John Petersen's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Neurology, with taxonomy code 111NN0400X.

What insurance does John Petersen accept?

Health plans from HealthPartners and Medica list John 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 John Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.