Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jason Dayne Petersen, MD

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Salt Lake City, UT · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215105804

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Registry record

Entity type Individual (Type 1)

Name Dr. Jason Dayne Petersen

Credential MD

Sex Male

Practice address 5353 S 960 E, #150, Salt Lake City, UT, 84117

Phone (801) 261-5791

Fax (801) 747-7740

Enumeration date Feb 15, 2008

Last updated in NPPES Aug 7, 2012

Taxonomy & licenses

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 83185641205 (UT) Secondary

2082S0099X Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Allopathic & Osteopathic Physicians · License 83185641205 (UT) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jason Petersen?

The National Provider Identifier (NPI) for Jason Petersen is 1215105804, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jason Petersen practice?

The practice location on file with NPPES is in Salt Lake City, UT. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Matthew Davies Forensic Psychologist · Murray, UT NPI 1053409342 Monica D Christy Phd PC Clinical Psychologist · Murray, UT NPI 1154465813 Eric Mckeon Pharmacist · Salt Lake City, UT NPI 1053693705 Jessica Blanchard Pharmacist · Salt Lake City, UT NPI 1689957763 Kyungsun Kim Pharmacist · Salt Lake City, UT NPI 1619245529 J. Dayne Petersen M.D., PC Medical Specialty Clinic/Center · Salt Lake City, UT NPI 1346597507

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-07.