Individual provider Active NPI

Scott Graziosa, D.C., B.S.

  • Chiropractor
  • Salt Lake City, UT
National Provider Identifier
1508302225
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6608791-1202 Issued in UT
Practice address
3160 E Coronet Dr
Salt Lake City, UT 84124-3107
Phone
(845) 494-1945
NPI assigned
Jan 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6608791-1202 UT Primary

Addresses

Primary practice location

3160 E Coronet Dr
Salt Lake City, UT 84124-3107

Mailing address

3160 E Coronet Dr
Salt Lake City, UT 84124-3107
Phone (845) 494-1945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228003048 UT Practitioner - Chiropractic 2860912458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

315 S 500
Suite 102
American Fork, UT 84003-3840
Phone (845) 494-1945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6608791-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Aligned Chiropractic Chiropractor CurrentSince Jan 7, 2025 Accepting new patients

Locations

315 S 500 E
Ste 102
American Fork, UT 84003
Phone (385) 832-3045

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": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1508302225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 E CORONET DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243107",
            "telephone_number": "845-494-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 E CORONET DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243107",
            "telephone_number": "845-494-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIOSA",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6608791-1202",
            "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 Jan 19, 2017; 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.