DR. MATTHEW KORY JACKSON (NPI# 1093289795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093289795 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW KORY JACKSON |
| Credential | D.C. |
| Practice Address |
515 E 4500 S Ste G230 Salt Lake City UT 84107-4510 |
| Practice Telephone | 3857438833 |
| Mailing Telephone | 3857438833 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 10228975-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278913 | Matthew Jackson | Student in an Organized Health Care Education/Training Program | 540 W 5150 S, Washington Terrace, UT 84405-6530 | 2019-07-30 |
| 1922651041 | Matthew Jackson | Social Worker | 1820 Pleasant Dr, Portage, MI 49002-5604 | 2019-07-17 |
| 1932558210 | Matthew Jackson | Driver | 3121 Johnston St Apt 142, Lafayette, LA 70503-3760 | 2016-06-08 |
| 1306237201 | Matthew Jackson | Specialist/Technologist | 51 Edward Rd, Townsend, MA 01469-1107 | 2015-02-12 |
| 1710235452 | Matthew Kane Jackson | Pharmacist | 942 Loy Cemetery Rd, Columbia, KY 42728-8719 | 2012-08-28 |
| 1619103702 | Matthew Matthew Jackson | Case Manager/Care Coordinator | 1101 West Morgan St, Suite 8, Paragould, AR 72450-3949 | 2009-06-03 |
| 1609942531 | Matthew Bryan Jackson | Massage Therapist | 2600 Sw Barton Street, Suite A24, Seattle, WA 98126 | 2006-11-24 |
| 1962481887 | Matthew Dv Jackson | Dentist | 9319 E Harry, #126, Wichita, KS 67207 | 2006-01-10 |
| 1528590460 | Matthew Dean Jackson | Student in an Organized Health Care Education/Training Program | 571 S Floyd St, Ste 412, Louisville, KY 40202-3818 | 2017-03-30 |
| 1699128645 | Matthew Jackson | Orthopaedic Surgery | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2016-07-14 |
| Street Address |
515 E 4500 S STE G230 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098394 | Lindsay Kopp | Chiropractor | 1939 S 1100 E, Salt Lake City, UT 84106-3580 | 2019-02-02 |
| 1740744101 | Drd Enterprises, LLC | Chiropractor | 7186 S Highland Dr Ste 150, Salt Lake City, UT 84121-7324 | 2019-01-29 |
| 1386159663 | Mikel Roy | Chiropractor | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2017-12-07 |
| 1508302225 | Scott Graziosa | Chiropractor | 3160 E Coronet Dr, Salt Lake City, UT 84124-3107 | 2017-01-19 |
| 1245642966 | Yasa LLC | Chiropractor | 5882 S 900 E Ste 100, Salt Lake City, UT 84121-1684 | 2014-05-29 |
| 1962814392 | John Corbaley | Chiropractor | 370 E South Temple Ste 100, Salt Lake City, UT 84111-1240 | 2014-05-20 |
| 1790022382 | Bradley Alan Anderson | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
| 1316291966 | Mark Frogley | Chiropractor | 1264 W Village Main Dr, Suite A, Salt Lake City, UT 84119-3396 | 2012-11-05 |
| 1548513088 | Taylor Robert Krick | Chiropractor | 1860 S 300 W, Suite B, Salt Lake City, UT 84115-2085 | 2012-10-22 |
| 1437412624 | Morgan Chiropractic | Chiropractor | 2010 S 1000 E, Salt Lake City, UT 84105-3321 | 2012-06-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.