Deyoung Chiropractic, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

DEYOUNG CHIROPRACTIC, LLC

Practice address

8106 Brodie LN Ste 107
Austin, TX 78745-7468

Phone

(512) 442-7999

Fax

(512) 442-8244

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey W Deyoung, DCNPI 1871500074

Title

President

Phone

(512) 442-7999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey William Deyoung, D.C.

  • Chiropractor
  • Austin, TX
  • NPI 1871500074
  Medicare reassignment NPD Authorized official
• Sean Thomas Tipton, D.C.

  • Chiropractor
  • Austin, TX
  • NPI 1902450240
  NPD (past)
• James L Vance, DC

  • Chiropractor
  • Austin, TX
  • NPI 1467541730
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1154897866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 BRODIE LN STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457468",
            "telephone_number": "512-442-7999",
            "fax_number": "512-442-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 BRODIE LN STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457468",
            "telephone_number": "512-442-7999",
            "fax_number": "512-442-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEYOUNG CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-442-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Dewitt
• Joanna Dewitt, PHARM.D.
• Shanna Dewitt
• Olivia Faith Dexter
• Nadia Dey, RD
• Deyoung Counseling PLLC
• Ann Marie Deyoung, LCSW
• Deborah Deyoung
• Jeffrey William Deyoung, D.C.
• Alexandra Dezell, RN, MSN, CPNP

• Point of Service in Austin, TX
• Providers in Austin, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.