Timothy James Young Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01948 Issued in MD

Practice address

3206 Tower Oaks Blvd
Suite 150
Rockville, MD 20852-4254

Phone

(301) 230-2001

Fax

(301) 230-2002

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184779266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 CHERBOURG DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543105",
            "telephone_number": "301-299-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 TOWER OAKS BLVD",
            "address_2": "SUITE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524254",
            "telephone_number": "301-230-2001",
            "fax_number": "301-230-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01948",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LR06YO",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Diane Young, CRNP
• Rahil Young
• Shannon Young
• Talayeh Young
• Tamara Young
• Tynesha Young
• Zsa Zsa Young
• Demisha Youngblood
• Rida Younis
• Dunia Younsei

• Chiropractor in Rockville, MD
• Providers in Rockville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.