Individual provider Active NPI

Sabrina Marie Frolov, D.C.

  • Chiropractor
  • Molalla, OR
National Provider Identifier
1063589406
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 3324 Issued in OR
Practice address
207 S Molalla Ave
Molalla, OR 97038
Phone
(503) 829-2662
Fax
(503) 829-2663
NPI assigned
Nov 29, 2006
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 3324 OR Primary

Addresses

Primary practice location

207 S Molalla Ave
Molalla, OR 97038

Mailing address

PO Box 520
Molalla, OR 97038-0520
Phone (503) 829-2662

Other identifiers 1

IdentifierTypeStateIssuer
022537MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000329 OR Practitioner - Chiropractic 4284725508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

85 S 5TH St
Suite 101
Madras, OR 97741-1756
Phone (503) 577-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27 3324ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ochoco Chiropractic LLC Chiropractor CurrentSince Sep 23, 2023 Accepting new patients
Integrated Healthcare Alliance Chiropractor CurrentSince Sep 1, 2020 Accepting new patients

Locations

85 S 5th St
Ste 101
Madras, OR 97741
Phone (503) 577-2161

124 NW 2nd St
Prineville, OR 97754
Phone (541) 447-1042

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1063589406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970380520",
            "telephone_number": "503-829-2662",
            "fax_number": "503-829-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MOLALLA AVE",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "97038",
            "telephone_number": "503-829-2662",
            "fax_number": "503-829-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROLOV",
        "first_name": "SABRINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 3324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022537",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Molalla, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.