Dr. John William Petersen, D.C.
Dr. John William Petersen is a Neurology Chiropractor provider (Chiropractor) practicing in Maple Grove, MN, registered in the NPPES registry with NPI 1720110737 since 2007. The credential DC stands for Doctor of Chiropractic. Practices at Indigenous Circles Counseling Center (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1720110737 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. John William Petersen |
| Credential | D.C. |
| Sex | Male |
| Practice address | Maple Grove, MN, 55369 |
| Phone | 7634204111 |
| Enumeration date | 2007-03-12 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 111NN0400X | Neurology Chiropractor | Primary | 1764 | MN |
DC — Doctor of Chiropractic: A licensed chiropractor focusing on musculoskeletal and nervous system disorders. About the DC credential
Copy-ready billing details
Provider: John Petersen, D.C. NPI: 1720110737 Taxonomy: 111NN0400X (Neurology Chiropractor) Address: Maple Grove, MN, 55369
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346590627 | Sheanne Scherber | Individual | Addiction (Substance Use Disorder) Counselor | Maple Grove, MN |
| 1720580814 | Indigenous Circles Counseling Center | Organization | Adult Mental Health Clinic/Center | Maple Grove, MN |
| 1285100263 | Lynn Borgmann | Individual | Mental Health Counselor | Maple Grove, MN |
| 1639707250 | Katelynn Nyberg | Individual | Physician Assistant | Maple Grove, MN |
| 1689202954 | Megan Kummerlowe | Individual | Psychiatry Physician | Maple Grove, MN |
Verify this record
Cross-check NPI 1720110737 against the authoritative CMS record: view Dr. John William Petersen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.