NPIMap

Individual provider Active NPI

Scott H Frogley, CCEP

  • Chiropractor
  • South Jordan, UT
National Provider Identifier
1790825388
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
294505-1202 Issued in UT
Practice address
10684 River Front Pkwy
South Jordan, UT 84095-3525
Phone
(801) 816-0332
Fax
(801) 816-0331
NPI assigned
Feb 6, 2007
Last updated
Jan 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 294505-1202 UT Primary

Addresses

Primary practice location

10684 River Front Pkwy
South Jordan, UT 84095-3525

Mailing address

10684 River Front Pkwy
South Jordan, UT 84095-3525
Phone (801) 816-0332

Other identifiers 7

IdentifierTypeStateIssuer
244741OtherUTDMBA
77250OtherUTPEHP
043706709OtherUTBEECHSTREET
043706709OtherUTFIRST HEALTH NETWORK
214914OtherUTALTIUS
870395551SFROtherUTEDUCATORS MUTUAL
87-0395551OtherUTCHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294505-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Frogley Holding LLC Chiropractor CurrentSince Sep 2, 2003 Accepting new patients
Interventional Surgical Center LLC Current Accepting new patients

Locations

10376 S Jordan Gtwy
South Jordan, UT 84095
Phone (801) 619-3670

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1790825388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10684 RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953525",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10684 RIVER FRONT PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953525",
            "telephone_number": "801-816-0332",
            "fax_number": "801-816-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROGLEY",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "CCEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "294505-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "244741",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "77250",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "043706709",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "043706709",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "214914",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870395551SFR",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "87-0395551",
            "state": "UT"
        }
    ],
    "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 Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.