Active NPI
Luke Ryan Young, D.C.
- Chiropractor
- Louisville, KY
National Provider Identifier
1083925150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5310
- Practice address
- 414 Baxter Ave
Suite 256
Louisville, KY 40204-1198 - Phone
- (803) 687-0773
- NPI assigned
- Jun 23, 2010
- Last updated
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 5310 | KY | Primary |
| Chiropractor | 111N00000X | 3542 | SC |
Addresses
Primary practice location
414 Baxter Ave
Suite 256
Louisville, KY 40204-1198
Mailing address
414 Baxter Ave
Suite 256
Louisville, KY 40204-1198
Phone (803) 687-0773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5310 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1083925150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 BAXTER AVE",
"address_2": "SUITE 256",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041198",
"telephone_number": "803-687-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 BAXTER AVE",
"address_2": "SUITE 256",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041198",
"telephone_number": "803-687-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LUKE",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5310",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3542",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.