Adam Young, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

2076 Issued in NE

Practice address

13220 Callum Dr Ste 2
Waverly, NE 68462-2562

Phone

(402) 328-0028

Fax

(402) 328-0049

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Alexander T Mera PCGroup PAC ID 8022116722, 5 clinicians

Chiropractic First of RockfordGroup PAC ID 4880865336, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic First of Rockford

  • Chiropractor
  • Rockford, IL
  • NPI 1619255858
  Medicare reassignment Care Compare group NPD
• Dr Alexander T Mera PC

  • Chiropractor
  • West Dundee, IL
  • NPI 1447475215

  Independent Medical Examiner

  Medicare reassignment Care Compare group NPD
• Atlas Chiropractic Centers Inc

  • Chiropractor
  • Rockford, IL
  • NPI 1114331030
  NPD

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1073114997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 CALLUM DR STE 2",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "684622562",
            "telephone_number": "402-328-0028",
            "fax_number": "402-328-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 CALLUM DR STE 2",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "684622562",
            "telephone_number": "402-328-0028",
            "fax_number": "402-328-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NE",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jo Walker, APRN
• Waverly Opco LLC (Adept Nursing & Rehab of Waverly)
• Keri Wiseman, M.S., CCC-SLP/L
• Xceed Chiropractic & Wellness Clinic PC
• Xceed Chiropractic, PC

• Independent Medical Examiner Chiropractor in Waverly, NE
• Providers in Waverly, NE by specialty
• Independent Medical Examiner Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.