Active NPI
Michael E Young, DC
- Chiropractor
- Wichita, KS
National Provider Identifier
1073559258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C3717
- Practice address
- 3510 W Central Ave
Ste 900
Wichita, KS 67203-4926 - Phone
- (316) 729-7277
- Fax
- (316) 729-6825
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03717 | KS | |
| Chiropractor | 111N00000X | C3717 | KS | Primary |
Addresses
Primary practice location
3510 W Central Ave
Ste 900
Wichita, KS 67203-4926
Mailing address
3510 W Central Ave
Ste 900
Wichita, KS 67203-4926
Phone (316) 729-7277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014180 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412000601 | KS | Practitioner - Chiropractic | 0840237889 | Practice locations: Wichita, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
937 N W St
Wichita, KS 67203-1225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-03717 | KS | MD | Chiropractor |
| C3717 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Sports Chiropractic PA | Chiropractor | Past | Accepting new patients |
| Impact Health Biometric Testing, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Wichita, KS
- NPI 1477822286
-
- Clinical Medical Laboratory
- King of Prussia, PA
- NPI 1588132013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1073559258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 W CENTRAL AVE",
"address_2": "STE 900",
"city": "WICHITA",
"state": "KS",
"postal_code": "672034926",
"telephone_number": "316-729-7277",
"fax_number": "316-636-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 W CENTRAL AVE",
"address_2": "STE 900",
"city": "WICHITA",
"state": "KS",
"postal_code": "672034926",
"telephone_number": "316-729-7277",
"fax_number": "316-729-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03717",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "C3717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "014180",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.