Individual provider Active NPI

Matthew Paul Wood, D.C.

  • Chiropractor
  • South Ogden, UT
National Provider Identifier
1003142241
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7460477-1202 Issued in UT
Practice address
6033 S Fashion Point Dr
Suite 120
South Ogden, UT 84403-4699
Phone
(801) 475-6800
Fax
(801) 475-6802
NPI assigned
Oct 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7460477-1202 UT Primary

Addresses

Primary practice location

6033 S Fashion Point Dr
Suite 120
South Ogden, UT 84403-4699

Mailing address

1770 Fort Union Blvd #101
Cottonwood Heights, UT 84121-2881
Phone (801) 944-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7460477-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Health DME, LLC CurrentSince May 25, 2018 Accepting new patients
Health for Life Inc Chiropractor PastSince Jan 1, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1003142241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 FORT UNION BLVD #101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212881",
            "telephone_number": "801-944-5900",
            "fax_number": "801-944-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 S FASHION POINT DR",
            "address_2": "SUITE 120",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034699",
            "telephone_number": "801-475-6800",
            "fax_number": "801-475-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-22",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "7460477-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.