Krogue Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KROGUE CHIROPRACTIC LLC

Doing business as

Payson Salem Chiropractic

Practice address

1172 E 100 N Ste 9
Payson, UT 84651-1691

Phone

(801) 691-1194

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Jonathan KrogueNPI 1134748817

Title

Manager Physician

Phone

(801) 691-1194

Specialties & licenses 1

Addresses

Other names 1

• Payson Salem Chiropractic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Krogue, DC

  • Chiropractor
  • Payson, UT
  • NPI 1134748817
  Medicare reassignment NPD Authorized official
• Louis S Carr, D.C.

  • Chiropractor
  • Orem, UT
  • NPI 1700802592
  NPD
• Gabriel T Tveten, DC

  • Chiropractor
  • Orem, UT
  • NPI 1821750183
  NPD
• John G. Aznar, D.C.

  • Chiropractor
  • Orem, UT
  • NPI 1972673440
  NPD (past)

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1194344887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 E 100 N STE 9",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511691",
            "telephone_number": "801-691-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E 100 N STE 9",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511691",
            "telephone_number": "801-691-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROGUE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "KROGUE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER PHYSICIAN",
        "authorized_official_telephone_number": "801-691-1194"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Payson",
            "affiliation": "N",
            "endpointDescription": "(801) 691-1194",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Call",
            "address_1": "1172 E 100 N Ste 9",
            "city": "Payson",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846511691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Payson Salem Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyle Milton Kinikini, M.D.
• KLB National Services LLC
• Klbnational LLC
• Karolee Koller, LCSW
• Thomas Kramer, PH.D.
• Jonathan Krogue, DC
• Joan R. Landes, CMHC
• Benjamin Grant Lauritzen, M.D.
• Kevin Lee, MD
• Jason Lefrandt, PHD

• Chiropractor in Payson, UT
• Providers in Payson, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.