Active NPI
Mark Frogley, D.C.
- Chiropractor
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8452631-1202
- Practice address
- 1264 W Village Main Dr
Suite a
Salt Lake City, UT 84119-3396 - Phone
- (801) 703-4622
- NPI assigned
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8452631-1202 | UT | Primary |
Addresses
Primary practice location
1264 W Village Main Dr
Suite a
Salt Lake City, UT 84119-3396
Mailing address
1264 W Village Main Dr
Suite a
Salt Lake City, UT 84119-3396
Phone (801) 703-4622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9787 N 91St St
Suite 101
Scottsdale, AZ 85258-5088
Phone (480) 563-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8452631-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Arizona Pain Specialists, PLLC | Chiropractor | Current | Accepting new patients |
| Wasatch Back Wellness, PLLC | Past | Accepting new patients | |
| Physical Medicine of Chandler LLC | Past | Accepting new patients | |
| Western Med Group LLC | Chiropractor | Past | Accepting new patients |
Locations
3624 W Anthem Way
Ste C108
Anthem, AZ 85086
Phone (623) 551-9950
2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101
1055 W Queen Creek Rd
Ste 3
Chandler, AZ 85248
Phone (480) 485-9963
875 N Greenfield Rd
Ste 110
Gilbert, AZ 85234
Phone (480) 757-3693
1704 E Boston St
Gilbert, AZ 85295
Phone (480) 656-8600
1515 N Gilbert Rd
Ste D101
Gilbert, AZ 85234
Phone (480) 838-6696
6859 E Rembrandt Ave
Mesa, AZ 85212
Phone (480) 389-4516
6859 E Rembrandt Ave
Ste 101
Mesa, AZ 85212
Phone (480) 389-4516
13460 N 94th Dr
Ste M1
Peoria, AZ 85381
Phone (623) 974-3333
20255 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 225-7154
13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901
7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241
2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008
3001 E Camelback Rd
Ste 155
Phoenix, AZ 85016
Phone (602) 234-2611
10611 N Hayden Rd
Ste 102D
Scottsdale, AZ 85260
Phone (480) 307-8258
9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334
Interoperability endpoints
- mark.frogley@azp.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1700030939
Chiropractor
-
dba Colorado Pain
- Pain Medicine (Anesthesiology) Physician
- Denver, CO
- NPI 1245682970
-
- Clinic/Center
- Heber City, UT
- NPI 1629306790
-
- General Practice Physician
- Chandler, AZ
- NPI 1801410535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1316291966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 W VILLAGE MAIN DR",
"address_2": "SUITE A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841193396",
"telephone_number": "801-703-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 W VILLAGE MAIN DR",
"address_2": "SUITE A",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841193396",
"telephone_number": "801-703-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROGLEY",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "8452631-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.