Individual provider Active NPI

Charles Joseph Younger, DC

  • Chiropractor
  • Cudahy, WI
National Provider Identifier
1205514916
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6103-12 Issued in WI
Practice address
3552 E Barnard Ave
Cudahy, WI 53110-1602
Phone
(414) 482-1776
Fax
(262) 421-2773
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6103-12 WI Primary

Addresses

Primary practice location

3552 E Barnard Ave
Cudahy, WI 53110-1602

Mailing address

3552 E Barnard Ave
Cudahy, WI 53110-1602
Phone (414) 482-1776

Other practice location 1

4600 W Loomis Rd Ste 110
Greenfield, WI 53220-4858
Phone (414) 481-1021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727002789 WI Practitioner - Chiropractic 7618338328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3552 E Barnard Ave
Cudahy, WI 53110-1602
Phone (414) 483-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Cudahy LTD Chiropractor CurrentSince Jul 13, 2023 Accepting new patients

Locations

3552 E Barnard Ave
Cudahy, WI 53110
Phone (414) 482-1776

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1205514916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 E BARNARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101602",
            "telephone_number": "414-482-1776",
            "fax_number": "262-421-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 E BARNARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101602",
            "telephone_number": "414-482-1776",
            "fax_number": "262-421-2773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 W Loomis Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532204858",
            "country_code": "US",
            "telephone_number": "414-481-1021",
            "fax_number": "414-271-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6103-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.