Wasatch Back Wellness, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5850450-1202 Issued in UT

Legal business name

WASATCH BACK WELLNESS, PLLC

Practice address

906 S Main St
Heber City, UT 84032-2403

Phone

(435) 654-3032

NPI assigned

Nov 30, 2009

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen C. Frogley, D.C.NPI 1992032270

Title

Owner

Phone

(435) 503-5492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 5

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.

• Stephen Craig Frogley, D.C.

  • Chiropractor
  • Heber City, UT
  • NPI 1992032270
  Medicare reassignment Authorized official
• Craig Dunn, D.C.

  • Sports Physician Chiropractor
  • Midvale, UT
  • NPI 1508809443
  NPD (past)
• Mark Frogley, D.C.

  • Chiropractor
  • Salt Lake City, UT
  • NPI 1316291966
  NPD (past)
• Kelly B Jarvis Sr., D.C.

  • Orthopedic Chiropractor
  • Heber City, UT
  • NPI 1730138470
  NPD (past)
• Brady R Heaps, DC

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1083209753
  NPD (past)

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1629306790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 CHARROS RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924817",
            "telephone_number": "435-503-5492",
            "fax_number": "801-571-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S MAIN ST",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322403",
            "telephone_number": "435-654-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH BACK WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "FROGLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-503-5492",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "5850450-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #11523)
• Ted R Walker, LCSW
• Walmart Inc. (WalMart Pharmacy 10-4696)
• Kevin Helaman Walters
• Russell Ward, PHARM D
• Wasatch Community Counseling
• Wasatch County (Heber Valley Counseling)
• Wasatch County Fire Protection Special Service District (Wasatch County Fire District)
• Wasatch County Health Department
• Wasatch County School District

• Clinic/Center in Heber City, UT
• Providers in Heber City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.