PETERSEN CHIROPRACTIC INC.
PETERSEN CHIROPRACTIC INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1144634395, based in Maple Grove, MN. It is classified under Chiropractor.
Getting there
The practice address on file is 9505 BLACKOAKS LN NO., Maple Grove, MN 55311. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1764 | MN | Chiropractor primary |
| 5767 | MN | Chiropractor |
This provider holds licence 1764 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4284951880
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Chiropractor covers
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. NUCC Health Care Provider Taxonomy, code 111N00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1764 | MN | primary |
| 111N00000X | Chiropractor | 5767 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1144634395 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 16, 2014 |
| Last updated | Mar 19, 2015 |
| Status | Active |
| Practice address |
9505 BLACKOAKS LN NO. Maple Grove, MN 55311 (763) 420-4111 Fax (763) 420-4145 |
| Mailing address |
9505 BLACKOAKS LN NO Maple Grove, MN 55311 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 6 | 3 | 4 | 3 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 3 | 3 | 8 | 3 | 9 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.