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BLAKE PETERSON DC
NPI 1962965855
Chiropractor in West Valley City, UT

Active since April 09, 2019Accepts Medicare Assignment
1878 W 3600 S, WEST VALLEY CITY, UT 84119(801) 972-1222 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blake Peterson Dc NPPES

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

BLAKE PETERSON DC (NPI 1962965855) is an individual chiropractor in West Valley City, Utah, licensed in Utah (10874281-1202) and active in the NPI registry since April 2019. He is a graduate of Life Chiropractic College - West (2017).

NPPES Registry Identity

NPI1962965855
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBLAKE PETERSONCredential: DC
Location Address1878 W 3600 SWest Valley City, UT 84119-3893
Mailing Address1878 W 3600 SWest Valley City, UT 84119-3893 · (801) 972-1222
Phone(801) 972-1222
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2017
Enumeration DateApril 9, 2019
✔ NPI 1962965855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 10874281-1202
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.
1878 W 3600 S, West Valley City, UT 84119
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Peterson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153655048
PECOS Enrollment IDI20190626003084

Medicare Billing Reassignment

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

Peterson Chiropractic Inc
2.9 mi
Chiropractor
1878 W. 3600 S.
West Valley City, UT 84119
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1134333669 (801) 972-1222

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
134 services15 patients

Other Providers at the Same Location NPPES 4

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

DR. BARRY T HAIL DC
Chiropractor
1878 W 3600 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 972-1222
PETERSON CHIROPRACTIC
Chiropractor
1878 W 3600 S
WEST VALLEY, UT 84119
Salt Lake County (801) 972-1222
DR. ALEC TAYLER RUSSELL DC, MSFN
Chiropractor
1878 W 3600 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 972-1222
DR. BRADLEY R PETERSON DC
Chiropractor
1878 W 3600 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 972-1222

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 Blake Peterson's NPI number?

The NPI number for Blake Peterson is 1962965855. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Blake Peterson located?

Blake Peterson practices at 1878 W 3600 S, West Valley City, UT 84119. The listed phone number is (801) 972-1222.

What is Blake Peterson's specialty?

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

Is Blake Peterson enrolled in Medicare?

Yes. Blake Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Blake Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Peterson reassigns Medicare benefits to Peterson Chiropractic Inc (West Valley City, 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 Blake Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Blake 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 Blake Peterson was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.