SOUTH JORDAN HEALTH AND WELLNESS
NPI 1700135233
Chiropractor in Tooele, UT
About South Jordan Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH JORDAN HEALTH AND WELLNESS (NPI 1700135233) is a healthcare organization registered as a chiropractor in Tooele, Utah and active in the NPI registry since August 2012. The organization lists Matthew Peterson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Jordan Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to South Jordan Health And Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 South Jordan Health And Wellness's NPI number?
The NPI number for South Jordan Health And Wellness is 1700135233. It was assigned to this organization in the NPPES registry on August 30, 2012.
Where is South Jordan Health And Wellness located?
South Jordan Health And Wellness is located at 272 N Broadway St #11, Tooele, UT 84074. The listed phone number is (435) 882-1621.
What is South Jordan Health And Wellness's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is South Jordan Health And Wellness enrolled in Medicare?
Yes. South Jordan Health And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Jordan Health And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South Jordan Health And Wellness. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South Jordan Health And Wellness was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# South Jordan Health And Wellness · NPI 1700135233
Chiropractor organization in Tooele, Utah. Organization record, active in the CMS NPPES registry since August 30, 2012.
## Identity
- **NPI:** 1700135233 (Entity type: Organization)
- **Enumerated:** August 30, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Matthew Peterson, PRESIDENT
## Practice location
- **Address:** 272 N BROADWAY ST, #11, Tooele, UT 84074-2244
- **Phone:** (435) 882-1621 · **Fax:** (435) 882-8267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2016
- **Other identifiers:** Other 3703781202 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1700135233) · Data from the CMS NPPES public registry.