Individual provider Active NPI

Erik Younginer, D.C.

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1063472223
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2602 Issued in SC
Practice address
612 Ott Street
Columbia, SC 29205-1846
Phone
(803) 799-7101
Fax
(803) 799-7105
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2602 SC Primary

Addresses

Primary practice location

612 Ott Street
Columbia, SC 29205-1846

Mailing address

612 Ott Street
Columbia, SC 29205-1846

Other identifiers 1

IdentifierTypeStateIssuer
CH 2602MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000451 SC Practitioner - Chiropractic 9234295023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 Ott Rd
Columbia, SC 29205-2722
Phone (803) 799-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2602SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Spinal Center, LLC Chiropractor CurrentSince May 1, 2002 Accepting new patients

Locations

612 Ott Rd
Columbia, SC 29205
Phone (803) 799-7101

Organizations & group practices 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1063472223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 OTT STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 OTT STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051846",
            "telephone_number": "803-799-7101",
            "fax_number": "803-799-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGINER",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH 2602",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.