Individual provider Active NPI

Jeffrey Ward Frost, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1215081120
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8497 Issued in AZ
Practice address
16620 N 40TH St Ste G2
Phoenix, AZ 85032-3351
Phone
(602) 992-2656
Fax
(602) 992-2238
NPI assigned
Jan 22, 2007
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8497 AZ Primary

Addresses

Primary practice location

16620 N 40TH St Ste G2
Phoenix, AZ 85032-3351

Mailing address

16620 N 40TH St Ste G2
Phoenix, AZ 85032-3351
Phone (602) 992-2656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000031 AZ Practitioner - Chiropractic 3678507373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16620 N 40TH St
Suite G2
Phoenix, AZ 85032-3351
Phone (602) 992-2656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4972AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Az Regenerative Medicne Chiropractor CurrentSince Mar 5, 2020 Accepting new patients
Carson Robertson Chiropractic Inc Chiropractor Past Accepting new patients

Locations

16620 N 40th St
Ste G2
Phoenix, AZ 85032
Phone (602) 992-2656

Organizations & group practices 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1215081120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE G2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323351",
            "telephone_number": "602-992-2656",
            "fax_number": "602-992-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE G2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323351",
            "telephone_number": "602-992-2656",
            "fax_number": "602-992-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JEFFREY",
        "middle_name": "WARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.