Individual provider Active NPI

Michael Ron Frogley, D.C.

  • Chiropractor
  • West Valley City, UT
National Provider Identifier
1316126741
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6790232-1202 Issued in UT
Practice address
1264 Village Main Dr Unit a
West Valley City, UT 84119-1952
Phone
(801) 972-5285
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 6790232-1202 UT Primary

Addresses

Primary practice location

1264 Village Main Dr Unit a
West Valley City, UT 84119-1952

Mailing address

1264 Village Main Dr Unit a
West Valley City, UT 84119-1952
Phone (801) 972-5285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000192 UT Practitioner - Chiropractic 6709968803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Generational Health LLCGroup PAC ID 2264515048, 2 clinicians

Practice addresses (Care Compare)

1264 W Village Main Dr
Unit a
West Valley City, UT 84119-1952
Phone (801) 972-0393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generational Health LLC CurrentSince Jan 29, 2008 Accepting new patients

Locations

3898 W Innovation Dr
Ste B
Riverton, UT 84065
Phone (801) 210-2776

1264 W Village Main Dr
Unit A
West Valley City, UT 84119
Phone (801) 703-4622

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1316126741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 VILLAGE MAIN DR UNIT A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191952",
            "telephone_number": "801-972-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 VILLAGE MAIN DR UNIT A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191952",
            "telephone_number": "801-972-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROGLEY",
        "first_name": "MICHAEL",
        "middle_name": "RON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6790232-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.