Individual provider Active NPI

Youn Ryoo, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1093881484
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7775 Issued in AZ
Practice address
4225 W Glendale Ave
Ste A103
Phoenix, AZ 85051-8195
Phone
(623) 322-1777
Fax
(877) 292-2536
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7775 AZ Primary

Addresses

Primary practice location

4225 W Glendale Ave
Ste A103
Phoenix, AZ 85051-8195

Mailing address

4225 W Glendale Ave
Ste A103
Phoenix, AZ 85051-8195
Phone (480) 726-2287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000171 AZ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 1254439524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7775AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Touch Chiropractic and Rehab LLC Chiropractor CurrentSince Apr 15, 2013 Accepting new patients
Phoenix Chiropractic Injury Clinic, LLC Chiropractor PastSince Jun 23, 2024 Accepting new patients

Locations

3200 N Dobson Rd
Ste D-1
Chandler, AZ 85224
Phone (480) 664-9100

2815 N 91st Ave
Ste 107
Phoenix, AZ 85037
Phone (623) 742-9793

4225 W Glendale Ave
Ste A104
Phoenix, AZ 85051
Phone (201) 450-3472

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1093881484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "STE A103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518195",
            "telephone_number": "480-726-2287",
            "fax_number": "480-821-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 W GLENDALE AVE",
            "address_2": "STE A103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518195",
            "telephone_number": "623-322-1777",
            "fax_number": "877-292-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYOO",
        "first_name": "YOUN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.