M Petersen Chiropractic Corporation Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

M PETERSEN CHIROPRACTIC CORPORATION INC

Practice address

1373 S Bascom Ave
San Jose, CA 95128-4507

Phone

(408) 288-8120

NPI assigned

Jan 16, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Max Gregory Petetsen

Title

President

Phone

(408) 314-9453

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1487513305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284507",
            "telephone_number": "408-288-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284507",
            "telephone_number": "408-288-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PETERSEN CHIROPRACTIC CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "PETETSEN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-314-9453"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.