Matthew Kory Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10228975-1202 Issued in UT

Practice address

515 E 4500 S Ste G230
Salt Lake City, UT 84107-4510

Phone

(385) 743-8833

NPI assigned

Jan 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• UT PPO
• UT PPO D-SNP

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.

• Utah Chiropractic & Car Accident LLC

  • Chiropractor
  • Salem, UT
  • NPI 1114766912
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1093289795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 4500 S STE G230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074510",
            "telephone_number": "385-743-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 4500 S STE G230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841074510",
            "telephone_number": "385-743-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MATTHEW",
        "middle_name": "KORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "10228975-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jackson, M.D.
• Karena Z Jackson, LPPP
• Kathleen Grace Jackson, DPT
• Kenneth Conrad Jackson II, PHARM.D., R.PH.
• Marie C Jackson, MSW, CSW
• Michael Jackson
• Paul S. Jackson, D.M.D.
• Rebecca Whitaker Jackson
• Richard Leon Jackson, MD
• Robert L Jackson, PT

• Chiropractor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.