Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin James Petersen, DC

Individual provider Chiropractor · NPI 1245213008

Dr. Justin James Petersen, DC is a Chiropractic in Kapolei, Hawaii. Qualified in 2004, 22 years ago. Licensed in Alaska, Arizona, Hawaii and Idaho.

Years since qualifying
22
Licensed in
AK, AZ, HI, ID
In the registry since
2005
Specialties on file
4
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2176 Lauwiliwili St Ste 5A
Kapolei, HI 96707-1882
Phone: (808) 425-7092
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC1401 (HI)
Chiropractor Taxonomy 111N00000X · Licence 413 (AK)
Chiropractor Taxonomy 111N00000X · Licence CHIA-1344 (ID)
Chiropractor Taxonomy 111N00000X · Licence 7633 (AZ)

Record details

NPI number1245213008
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kapolei