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DR. MATTHEW WADE PETERSON D.C.
NPI 1326011891
Chiropractor in South Jordan, UT

Active since February 07, 2006
10456 S REDWOOD RD, SOUTH JORDAN, UT 84095(801) 878-9565(801) 432-8072 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew Wade Peterson D.c. NPPES

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

DR. MATTHEW WADE PETERSON D.C. (NPI 1326011891) is an individual chiropractor in South Jordan, Utah, licensed in Utah (370378-1202) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1326011891
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MATTHEW WADE PETERSONCredential: D.C.
Location Address10456 S REDWOOD RDSouth Jordan, UT 84095-8501
Mailing Address10456 S Redwood RdSouth Jordan, UT 84095-8501 · (801) 878-9565 · Fax (801) 432-8072
Phone(801) 878-9565
Fax(801) 432-8072
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateNovember 19, 2012
✔ NPI 1326011891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 370378-1202
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.
10456 S REDWOOD RD, South Jordan, UT 84095
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Other Identifiers 3

Medicaid870395551005UT
Medicare ID-Type Unspecified000056279UT
Medicare UPINU82234UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Wade Peterson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Matthew Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Jordan Health And Wellness
18 mi
Chiropractor
272 N BROADWAY ST, #11
Tooele, UT 84074
  • Reassigned Medicare billing, Utah enrollment
NPI 1700135233 (435) 882-1621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

ERIC J BERUBE DC
Chiropractor
10456 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 446-5100
INJURY CLINIC, LLC
Physical Medicine & Rehabilitation
10456 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (804) 446-5100
SOUTH JORDAN CHIROPRACTIC, LLC
Clinic/Center (Primary Care)
10456 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 446-5100
HEALTHQUEST OF SOUTH JORDAN
Chiropractor
10456 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 446-5100
DR. KELBY MARTIN D.C.
Chiropractor
10456 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 446-5100

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 1326011891. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Matthew Peterson located?

Matthew Peterson practices at 10456 S Redwood Rd, South Jordan, UT 84095. The listed phone number is (801) 878-9565.

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.

Which organization bills Medicare for Matthew Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Peterson reassigns Medicare benefits to South Jordan Health And Wellness (Tooele, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Peterson accept?

Health plans from Providence Health Plan list Matthew Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.