Petersen Chiropractic Inc.
NPI 1144634395ActiveOrganization· Chiropractor· Maple Grove, MN
Chiropractor in Maple Grove, Minnesota, registered in NPPES in June 2014. The authorized official on file is John William Petersen, D.C., Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144634395 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2014 |
| Last updated in NPPES | Mar 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1764 | MN |
| Chiropractor | 111N00000X | 5767 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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