Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245213008 Individual Practitioner Male Practitioner

Dr. Justin James Petersen , DC

Chiropractor • Kapolei, HI

Professional Overview & Biography Verified Profile Summary

Dr. Justin Petersen, DC is a certified Chiropractor practicing in Kapolei, HI. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Petersen delivers high-quality medical care to the local community at 2176 LAUWILIWILI ST STE 5A.

Dr. Petersen does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2176 Lauwiliwili St Ste 5a

Kapolei, HI 967071882

Telephone 8084257092
Associated Practice Facility / Clinic
🏢 Krack Chiropractic Llc Facility NPI 1417742636

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Kapolei, HI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs Matches City Avg
City Avg: 22.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Kapolei, HI (407 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (22 Years) 22 Yrs
Kapolei Specialty Average (22.0 Years) 22.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-04
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License HI DC1401

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License AK 413

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License ID CHIA-1344

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License AZ 7633

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Chris Chai

Massage Therapist

NPI 1700765781
Sarah Dierking

Massage Therapist

NPI 1891590006

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 04, 2025

Registered at 2176 LAUWILIWILI ST STE 5A, KAPOLEI, HI 967071882 (Tel: 8084257092)

📍
Updated Business Mailing Address June 04, 2025

Registered at 7007 HAWAII KAI DR APT C23, HONOLULU, HI 968253139 (Tel: 8084268827)

📍
Updated Practice Location June 05, 2018

Registered at 7000 HAWAII KAI DR APT 2910, HONOLULU, HI 96825 (Tel: 8084367317)

📍
Updated Business Mailing Address June 05, 2018

Registered at PO BOX 25921, HONOLULU, HI 968250921 (Tel: 0843673178)

NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2013

Registered at 1655 OKPIK ST, BARROW, AK 99723 (Tel: 2083651392)

📍
Updated Business Mailing Address April 11, 2013

Registered at 1655 OKPIK ST., BARROW, AK 997231827 (Tel: 2083651392)

👤
Provider Name / Credentials Updated April 11, 2013

Recorded as JUSTIN PETERSEN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Chiropractor (License #413 in AK)

🟢
Initial NPI Registration & Enumeration November 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245213008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2005
Last Update: June 04, 2025
Sole Proprietor: No

Mailing Address

7007 Hawaii Kai Dr Apt C23

Honolulu, HI 968253139

Phone: 8084268827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.