Jordan Peterson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2110 Issued in WI

Practice address

S83W27690 Beaver TRL
Mukwonago, WI 53149-9662

Phone

(815) 814-4841

NPI assigned

Nov 4, 2021

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hearth Chiropractic LLC

  • Chiropractor
  • Mukwonago, WI
  • NPI 1285509646
  Medicare reassignment NPD Authorized official
• Patriot Family Chiropractic LLC

  • Chiropractor
  • Omaha, NE
  • NPI 1477850196
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1265197107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S83W27690 BEAVER TRL",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499662",
            "telephone_number": "815-814-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S83W27690 BEAVER TRL",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499662",
            "telephone_number": "815-814-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Marie Pennoyer
• Kari Peper, OTR
• Sally Pepper
• Perugini Chiropractic SC
• Rocco Frank Perugini, DC
• Wayne W. Peterson, M.D.
• Linda M. Phillips, FNP-C
• Shelley A.. Pignet, APNP
• Andrea L Pollpeter, APNP
• Kathryn Mary Popa, PT

• Chiropractor in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.