Individual provider Active NPI

Roger Arie Bond, D.C.

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1750475810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
175401-1202 Issued in UT
Practice address
1684 Reunion Ave Ste 250
South Jordan, UT 84095-4626
Phone
(801) 562-0363
Fax
(801) 562-0347
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 175401-1202 UT Primary

Addresses

Primary practice location

1684 Reunion Ave Ste 250
South Jordan, UT 84095-4626

Mailing address

1684 Reunion Ave Ste 250
South Jordan, UT 84095-4626
Phone (801) 562-0363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000642 UT Practitioner - Chiropractic 2062696602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wagner Chiropractic and Rehabilitation P.C.Group PAC ID 9537212857, 3 clinicians

Practice addresses (Care Compare)

10 N 400
St George, UT 84770-2919
Phone (435) 673-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175401-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Chiropractic & Rehabilitation P.C. Chiropractor CurrentSince Jun 7, 2017 Accepting new patients
Bond Chiropractic Inc Chiropractor PastSince Jul 28, 2010 Accepting new patients
Cleverley Chiropractic, PLLC Chiropractor Past Accepting new patients

Locations

10 N 400 E
St George, UT 84770
Phone (435) 673-1443

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750475810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 REUNION AVE STE 250",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954626",
            "telephone_number": "801-562-0363",
            "fax_number": "801-562-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 REUNION AVE STE 250",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954626",
            "telephone_number": "801-562-0363",
            "fax_number": "801-562-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "ROGER",
        "middle_name": "ARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "175401-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.