Young Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10609 Issued in TX

Legal business name

YOUNG CLINIC, PC

Practice address

2216 Royal LN
Ste 113
Dallas, TX 75229-3309

Phone

(469) 231-6152

Fax

(972) 243-2206

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Youngdong Sim, DC

Title

DC/Owner

Phone

(469) 231-6152

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1043525231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 ROYAL LN",
            "address_2": "STE 113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293309",
            "telephone_number": "469-231-6152",
            "fax_number": "972-243-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 ROYAL LN",
            "address_2": "STE 113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293309",
            "telephone_number": "469-231-6152",
            "fax_number": "972-243-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "YOUNGDONG",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "469-231-6152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10609",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1811161482",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Youjian TCM PLLC
• Grace Youn
• Paul Y. Youn, M.D.
• Angela M Young Achong Mejia, MD
• Young an Church (S N S)
• Allie Ardoin Young, SLP-CCC
• Ambernishia Young
• Amy C Young, MD
• Andrew Thomas Young, M.D.
• Andrew William Young, PHARM.D.

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.