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MATTHEW ALAN PETERSON DC
NPI 1144954470
Chiropractor in Stillwater, MN

Active since July 12, 2022
5898 OMAHA AVE N STE 1A, STILLWATER, MN 55082(651) 239-4330 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Jul 12, 2022 (2 updates tracked since 2022).

About Matthew Alan Peterson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW ALAN PETERSON DC (NPI 1144954470) is an individual chiropractor in Stillwater, Minnesota, licensed in Minnesota (7115) and active in the NPI registry since July 2022. He is a graduate of Life Chiropractic College (2021).

NPPES Registry Identity

NPI1144954470
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMATTHEW ALAN PETERSONCredential: DC
Location Address5898 OMAHA AVE N STE 1AStillwater, MN 55082-4383
Mailing Address5898 Omaha Ave N Ste 1aStillwater, MN 55082-4383
Phone(651) 239-4330
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2021
Enumeration DateJuly 12, 2022
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1144954470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 7115
Definition
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.
5898 OMAHA AVE N STE 1A, Stillwater, MN 55082
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Alan Peterson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638555253
PECOS Enrollment IDI20250715002220

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARITY CHIROPRACTIC LLC
Chiropractor
5898 OMAHA AVE N STE 1A
STILLWATER, MN 55082
Washington County (651) 239-4330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1144954470. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Matthew Peterson located?

Matthew Peterson practices at 5898 Omaha Ave N Ste 1A, Stillwater, MN 55082. The listed phone number is (651) 239-4330.

What is Matthew Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew Peterson enrolled in Medicare?

Yes. Matthew Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.