DR. MATTHEW WADE PETERSON (NPI# 1326011891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326011891 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WADE PETERSON |
| Credential | D.C. |
| Practice Address |
10456 S Redwood Rd South Jordan UT 84095-8501 |
| Practice Telephone | 8018789565 |
| Practice Fax Number | 8014328072 |
| Mailing Telephone | 8018789565 |
| Mailing Fax Number | 8014328072 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 370378-1202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 870395551005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1689124430 | Matthew Leif Peterson | Counselor | 2512 Hunters Run Dr, Plano, TX 75025-4768 | 2016-10-05 |
| 1356610810 | Matthew Adam Peterson | Registered Nurse | 8565 S Poplar Way, Littleton, CO 80130 | 2011-12-29 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1508039777 | Matthew S. Peterson | Chiropractor | 103 N. 1st Street, Elma, WA 98541-0656 | 2008-04-09 |
| 1972683340 | Matthew C Peterson | Dentist | 4729 Swift Rd, Sarasota, FL 34231-6433 | 2006-10-17 |
| 1902993629 | Matthew J Peterson | Dentist | 135 Opportunity S Blvd, Cambridge, MN 55008 | 2006-10-06 |
| 1891785606 | Matthew R Peterson | Anesthesiology | 4029 Northwest Ave Ste 301, Bellingham, WA 98226-9077 | 2005-10-24 |
| 1336747369 | Matthew Peterson | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2020-10-12 |
| 1164041505 | Matthew Jon Peterson | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2020-04-15 |
| Street Address |
10456 S REDWOOD RD |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535915 | Injury Clinic, LLC | Physical Medicine & Rehabilitation | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2018-04-18 |
| 1831588607 | Kelby Martin | Chiropractor | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2015-01-16 |
| 1649425000 | South Jordan Chiropractic, LLC | Clinic/Center | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2008-11-25 |
| 1700931078 | Healthquest of South Jordan | Chiropractor | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2007-01-24 |
| 1194886234 | Eric J Berube | Chiropractor | 10456 S Redwood Rd, South Jordan, UT 84095-8501 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476849 | Kyle Gordon | Chiropractor | 891 W Baxter Dr, South Jordan, UT 84095-8506 | 2020-04-24 |
| 1215377460 | Neurobolic Health Center | Chiropractor | 1664 W 10600 S Ste 4, South Jordan, UT 84095-8611 | 2013-07-02 |
| 1134465271 | J Brinton Andersen | Chiropractor | 10965 S River Front Pkwy, South Jordan, UT 84095-3538 | 2012-12-18 |
| 1588967301 | Southwest Chiropractic, Inc. | Chiropractor | 10358 S 1700 W, South Jordan, UT 84095-9339 | 2010-12-16 |
| 1215245881 | Scranton Clinic of Chiropractic | Chiropractor | 4775 W. Daybreak Parkway, St. 102, South Jordan, UT 84095 | 2010-09-17 |
| 1194037978 | Joseph Ross Stockwell | Chiropractor | 10714 S Jordan Gtwy, Suite # 220, South Jordan, UT 84095-3922 | 2010-07-08 |
| 1699093989 | Luce Chiropractic | Chiropractor | 3630 W South Jordan Pkwy, Ste. 102, South Jordan, UT 84095-7153 | 2010-05-11 |
| 1265760334 | John R Whitehead | Chiropractor | 11488 Open View Ln, South Jordan, UT 84095-8790 | 2009-11-30 |
| 1104150960 | Janson William Kemp | Chiropractor | 968 W South Jordan Pkwy, Ste B, South Jordan, UT 84095-8817 | 2009-09-28 |
| 1225276033 | Mack Chiropractic PC | Chiropractor | 912 W Baxter Dr, Suite 120, South Jordan, UT 84095 | 2009-02-02 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on DR. MATTHEW WADE PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.