Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720110737 Individual Practitioner Male Practitioner

Dr. John William Petersen , DC

Chiropractor - Neurology • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Petersen, DC is a registered healthcare professional specializing in Chiropractor - Neurology in Maple Grove, MN. Practice services are available at 12000 ELM CREEK BLVD N STE L70 under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N Ste L70

Maple Grove, MN 553697167

Telephone 7634204111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor - Neurology in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Maple Grove, MN (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
52 15 $72.38 $39.43

Medical Specialties & State Licenses

Chiropractor - Neurology Primary Specialty

NUCC Taxonomy Code: 111NN0400X

State License MN 1764

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1770319675

Doctor of Physical Therapy

NPI 1851631907

Doctor of Chiropractic

Dr. Connor Schad , PT, DPT

Physical Therapist

NPI 1932910742

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12000 ELM CREEK BLVD N STE L70, MAPLE GROVE, MN 553697167 (Tel: 7634204111)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12000 ELM CREEK BLVD N STE L70, MAPLE GROVE, MN 553697167 (Tel: 7634204111)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PETERSEN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1764 in MN)

🟢
Initial NPI Registration & Enumeration March 12, 2007

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: 1720110737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

12000 Elm Creek Blvd N Ste L70

Maple Grove, MN 553697167

Phone: 7634204111

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.