Individual provider Active NPI

Dennis David Young, D.C.

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1184658700
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
556 Issued in AK
Practice address
11260 Old Seward Hwy Ste 106
Anchorage, AK 99515-3098
Phone
(907) 677-6953
Fax
(907) 677-6954
NPI assigned
Jul 10, 2006
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 797 SC
Chiropractor 111N00000X 556 AK Primary

Addresses

Primary practice location

11260 Old Seward Hwy Ste 106
Anchorage, AK 99515-3098

Mailing address

11260 Old Seward Hwy Ste 106
Anchorage, AK 99515-3098
Phone (907) 677-6953

Other identifiers 2

IdentifierTypeStateIssuer
P003744062OtherSCRAILROAD MEDICARE PTAN
260870476OtherSCBCBS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000180 AK Practitioner - Chiropractic 4385601715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pairmore and Young Synergy Chiropractic LLCGroup PAC ID 3678662699, 5 clinicians

Practice addresses (Care Compare)

3210 Denali St
Suite 1
Anchorage, AK 99503-4041
Phone (907) 677-6953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
797SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ahtna T' Aene Nene' CurrentSince Nov 17, 2018 Accepting new patients
Pairmore & Young: Synergy Chiropractic LLC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
Young Wellness Center, P.a. Chiropractor PastSince Oct 18, 2004 Accepting new patients
Advanced Integrative Medical Center, PA Chiropractor PastSince Nov 17, 2004 Accepting new patients
Pairmore Young Synergy Chiropractic LLC Chiropractor PastSince Apr 26, 2022 Accepting new patients

Locations

11260 Old Seward Hwy
Ste 106
Anchorage, AK 99515
Phone (907) 646-2211

3210 Denali St
Ste 1
Anchorage, AK 99503
Phone (907) 569-9355

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1184658700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY STE 106",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153098",
            "telephone_number": "907-677-6953",
            "fax_number": "907-677-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY STE 106",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153098",
            "telephone_number": "907-677-6953",
            "fax_number": "907-677-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DENNIS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "797",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P003744062",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "260870476",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.

Verify at the official NPI Registry.