Individual provider Active NPI

Jeffrey Matson, DC

  • Chiropractor
  • Draper, UT
National Provider Identifier
1033887013
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
119192531202 Issued in UT
Practice address
392 E 12300 S Ste C
Draper, UT 84020-8043
Phone
(801) 849-1029
Fax
(801) 890-0513
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 119192531202 UT Primary

Addresses

Primary practice location

392 E 12300 S Ste C
Draper, UT 84020-8043

Mailing address

392 E 12300 S Ste C
Draper, UT 84020-8043
Phone (801) 849-1029

Other practice location 1

2195 W 5400 S Ste 105
Taylorsville, UT 84129-1433
Phone (801) 601-1239

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119192531202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1033887013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 E 12300 S STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208043",
            "telephone_number": "801-849-1029",
            "fax_number": "801-890-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E 12300 S STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208043",
            "telephone_number": "801-849-1029",
            "fax_number": "801-890-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 W 5400 S Ste 105",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841291433",
            "country_code": "US",
            "telephone_number": "801-601-1239",
            "fax_number": "385-900-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "119192531202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.