MR. GLEN S FRICK M.D., PHD
NPI 1699760629
Pediatrics in Salt Lake City, UT

NPI Status: Active since September 15, 2005

Contact Information

495 E 4500 S
STE 200
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 595-8844
Fax: (801) 506-0188

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  • Individual
  • Male
  • Pediatrics
  • Accepts Insurance

About GLEN FRICK

This page provides the complete NPI Profile along with additional information for Glen Frick, a pediatrician established in Salt Lake City, Utah with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1699760629 assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number 10534932-1205 (UT). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1699760629
Provider Name
MR. GLEN S FRICK M.D., PHD
Gender
Male
Entity Type
Individual
Location Address
495 E 4500 S STE 200 SALT LAKE CITY, UT 84107
Location Phone
(801) 595-8844
Location Fax
(801) 506-0188
Mailing Address
495 E 4500 S STE 200 SALT LAKE CITY, UT 84107
Mailing Phone
(801) 595-8844
Mailing Fax
(801) 506-0188
Is Sole Proprietor?
Yes
Enumeration Date
09-15-2005
Last Update Date
08-31-2022
Code Navigator

A pediatrician like Glen Frick is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
10534932-1205
License State
UT
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

MD417392 (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO
  • U Health Plus Bronze - EPO
  • U Health Plus Expanded Bronze Standard - EPO
  • U Health Plus Gold - EPO
  • U Health Plus Gold Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10101276MEDICAID (05)PA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699760629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 1 + 4 + 6 + 0 + 6 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1699760629.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Chiropractor
495 E 4500 S, SUITE #105
SALT LAKE CITY, UT 84107
Chiropractor
495 E 4500 S, SUITE 202
MURRAY, UT 84107
Chiropractor
495 E 4500 S, #202
MURRAY, UT 84107
Chiropractor
495 E 4500 S, SUITE 102
MURRAY, UT 84107
Pediatrics
495 E 4500 S, SUITE 200
SALT LAKE CITY, UT 84107
Chiropractor
495 E 4500 S, SUITE #104
MURRAY, UT 84107
Social Worker (Clinical)
495 E 4500 S
SALT LAKE CITY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699760629, enumerated as an "individual" on September 15, 2005.

The provider is located at 495 E 4500 S STE 200 SALT LAKE CITY, UT 84107 and the phone number is (801) 595-8844.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.