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DR. JORDAN PETERSON DC
NPI 1265197107
Chiropractor in Mukwonago, WI

Active since November 04, 2021
S83W27690 BEAVER TRL, MUKWONAGO, WI 53149(815) 814-4841 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2025, Nov 4, 2021 (2 updates tracked since 2021).

About Dr. Jordan Peterson Dc NPPES

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

DR. JORDAN PETERSON DC (NPI 1265197107) is an individual chiropractor in Mukwonago, Wisconsin, licensed in Wisconsin (2110) and active in the NPI registry since November 2021. He is a graduate of Palmer College Chiropractic - Davenport (2021).

NPPES Registry Identity

NPI1265197107
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JORDAN PETERSONCredential: DC
Location AddressS83W27690 BEAVER TRLMukwonago, WI 53149-9662
Mailing AddressS83w27690 Beaver TrlMukwonago, WI 53149-9662 · (815) 814-4841
Phone(815) 814-4841
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2021
Enumeration DateNovember 4, 2021
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1265197107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2110
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.
S83W27690 BEAVER TRL, Mukwonago, WI 53149
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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)

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

PECOS PAC ID143610220
PECOS Enrollment IDI20251215002238

Other Providers at the Same Location NPPES

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

HEARTH CHIROPRACTIC LLC
Chiropractor
S83W27690 BEAVER TRL
MUKWONAGO, WI 53149
Waukesha County (262) 204-7844

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 Jordan Peterson's NPI number?

The NPI number for Jordan Peterson is 1265197107. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Jordan Peterson located?

Jordan Peterson practices at S83w27690 Beaver Trl, Mukwonago, WI 53149. The listed phone number is (815) 814-4841.

What is Jordan Peterson's specialty?

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

Is Jordan Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Peterson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.