Active NPI
Matthew Paul Wood, D.C.
- Chiropractor
- South Ogden, UT
National Provider Identifier
1003142241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7460477-1202
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7460477-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Health DME, LLC | Current | Accepting new patients | |
| Health for Life Inc | Chiropractor | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Draper, UT
- NPI 1225514425
-
- Chiropractor
- South Ogden, UT
- NPI 1497993315
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.