Organization Active NPI

Generational Health LLC

Doing business as Chiropractic Health & Rehab

  • Clinic/Center
  • West Valley City, UT
National Provider Identifier
1639356884
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6790232-1202 Issued in UT
Legal business name
GENERATIONAL HEALTH LLC
Doing business as
Chiropractic Health & Rehab
Practice address
1264 Village Main Dr Unit a
West Valley City, UT 84119-1952
Phone
(801) 972-0393
Fax
(801) 972-5707
NPI assigned
Jan 29, 2008
Last updated
Feb 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. Michael R Frogley, D.C.NPI 1316126741
Title
Owner
Phone
(801) 972-0393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 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) 972-0393

Other names 1

  • Chiropractic Health & Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080218000225 UT Part B Supplier - Clinic/Group Practice 2264515048 Receives reassigned benefits from 2 practitioners
Practice locations: Riverton, UT; West Valley City, UT
O20181024001026 UT DME Supplier - Medical Supply Company 2264515048 Practice locations: West Valley City, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Generational Health LLC1264 W Village Main Dr, West Valley City, UT 84119-1952(801) 972-0393 Contracture Treatment Devices: Dynamic Splint|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1639356884",
    "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": "801-972-0393",
            "fax_number": "801-972-5707"
        },
        {
            "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": "801-972-0393",
            "fax_number": "801-972-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "FROGLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-972-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "6790232-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 2008; 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.