Individual provider Active NPI

Seung Il Youn, DC

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1174357677
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08087 Issued in TX
Practice address
445 Walnut St Ste 139
Richardson, TX 75081-5584
Phone
(469) 502-1555
NPI assigned
Aug 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00449 TX
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08087 TX Primary

Addresses

Primary practice location

445 Walnut St Ste 139
Richardson, TX 75081-5584

Mailing address

445 Walnut St Ste 139
Richardson, TX 75081-5584
Phone (469) 502-1555

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08087TXMDChiropractor
AC00449TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Herb Dallas Inc Chiropractor CurrentSince Sep 1, 2024 Accepting new patients

Locations

445 Walnut St
Ste 139
Richardson, TX 75081
Phone (214) 629-1055

Organizations & group practices 1

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1174357677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WALNUT ST STE 139",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815584",
            "telephone_number": "469-502-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WALNUT ST STE 139",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815584",
            "telephone_number": "469-502-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "SEUNG",
        "middle_name": "IL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00449",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "08087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.