OrganizationActive
John R. Petersen D.C. P.A.
NPI 1194922179 · Chiropractor · Saint Paul, MN
John R. Petersen D.C. P.A. is a Chiropractor organization in Saint Paul, MN (NPI 1194922179).
Provider details
- NPI number
- 1194922179
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- John Petersen, Doctor of Chiropractic(651) 639-1066
- License
- 4232 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2216 County Road D W
Saint Paul, MN 55112-7500
Phone: (651) 639-1066
Fax: (651) 630-1069
Street-level locationGet directions
Mailing address
2216 County Road D W
Saint Paul, MN 55112-7500
Other names (DBA / former)
- Doing business as
- Spine & Sports Chiropractic
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2008-12-03
Frequently asked questions
- What is John R. Petersen D.C. P.A.'s NPI number?
- John R. Petersen D.C. P.A.'s National Provider Identifier (NPI) is 1194922179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John R. Petersen D.C. P.A.?
- John R. Petersen D.C. P.A. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is John R. Petersen D.C. P.A. located?
- John R. Petersen D.C. P.A.'s practice location on file with NPPES is 2216 County Road D W, Saint Paul, MN 55112-7500.
- What is John R. Petersen D.C. P.A.'s phone number?
- The practice phone number listed in the NPPES registry for John R. Petersen D.C. P.A. is (651) 639-1066.
- Who is the authorized official for John R. Petersen D.C. P.A.?
- The authorized official listed on John R. Petersen D.C. P.A.'s NPPES record is John Petersen, Doctor of Chiropractic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John R. Petersen D.C. P.A.'s NPI active?
- Yes — John R. Petersen D.C. P.A.'s NPI (1194922179) is active in the NPPES registry as of the last update on 2008-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.