Active NPI
Gregory Douglas Young, DC
- Chiropractor
- Andrews, TX
National Provider Identifier
1306994066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8662
- Practice address
- 200 SE 1St St
Andrews, TX 79714-7115 - Phone
- (432) 524-5580
- Fax
- (432) 524-5583
- NPI assigned
- Jan 8, 2007
- Last updated
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8662 | TX | Primary |
Addresses
Primary practice location
200 SE 1St St
Andrews, TX 79714-7115
Mailing address
200 SE 1St St
Andrews, TX 79714-7115
Phone (432) 524-5580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146738301 | Medicaid | TX | |
| 607054 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120109000960 | TX | Practitioner - Chiropractic | 5193991396 | Practice locations: Andrews, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 SE 1St St
Andrews, TX 79714-7115
Phone (432) 524-5580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory D. Young, DC | Chiropractor | Past | Accepting new patients |
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, 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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1306994066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SE 1ST ST",
"city": "ANDREWS",
"state": "TX",
"postal_code": "797147115",
"telephone_number": "432-524-5580",
"fax_number": "432-524-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE 1ST ST",
"city": "ANDREWS",
"state": "TX",
"postal_code": "797147115",
"telephone_number": "432-524-5580",
"fax_number": "432-524-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GREGORY",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "8662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146738301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "607054",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andrews, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.