DR. MATTHEW WADE PETERSON (D.C.) – Chiropractor, NPI 1326011891

DR. MATTHEW WADE PETERSON (D.C.) is a healthcare provider. based in South jordan, Utah. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 370378-1202 (UT). The NPI Number for DR. MATTHEW WADE PETERSON (D.C.) is 1326011891

Main info

Male
27 Years Of Experience
Name
DR. MATTHEW WADE PETERSON (D.C.)
NPI
1326011891
Phone
(801) 878-9565
Address
10456 S REDWOOD RD
Enumeration Date
7 February 2006
Last Update Date
19 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4358821621
Graduation Year
1999 (27 years ago)
PAC ID
7416035795
Professional Enrollment ID
I20080428000317
Address ID
UT840741651TO293XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

319 CHIROPRACTIC in UT

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Provider Addresses for DR. MATTHEW WADE PETERSON (D.C.)

  • South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States

    SOUTH JORDAN, UT 840958501

    Phone: (801) 878-9565

    Fax: (801) 432-8072

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080428000317IChiropracticUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84095)

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Reviews

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Frequently asked questions

What federal number belongs to DR. MATTHEW WADE PETERSON (D.C.)?
The federal identifier for DR. MATTHEW WADE PETERSON (D.C.) is NPI 1326011891.
Is DR. MATTHEW WADE PETERSON (D.C.)'s NPI currently valid?
The extract we use shows DR. MATTHEW WADE PETERSON (D.C.) as active.
What does DR. MATTHEW WADE PETERSON (D.C.) treat or focus on?
Patients typically see DR. MATTHEW WADE PETERSON (D.C.) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for DR. MATTHEW WADE PETERSON (D.C.)?
We surface South Jordan, Utah for DR. MATTHEW WADE PETERSON (D.C.) based on available NPPES addresses.
What if South Jordan, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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