Organization Active NPI

Lajilco Ventures LLC

  • Clinic/Center
  • Spring, TX
National Provider Identifier
1326286402
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5725 Issued in TX
Legal business name
LAJILCO VENTURES LLC
Practice address
17425 Stuebner Airline Rd Ste C
Spring, TX 77379-3708
Phone
(281) 370-4491
Fax
(281) 370-4492
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Jeffrey Alan Young, DCNPI 1760519045
Title
Managing Member
Phone
(281) 370-4491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5725 TX Primary

Addresses

Primary practice location

17425 Stuebner Airline Rd Ste C
Spring, TX 77379-3708

Mailing address

17425 Stuebner Airline Rd Ste C
Spring, TX 77379-3708
Phone (281) 370-4491

Other names 1

  • Young Chiropractic Clinic & Northwest Spinal Decompression Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000344 TX Part B Supplier - Clinic/Group Practice 2769532670 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

17425 Stuebner Airline Rd
Ste C
Spring, TX 77379
Phone (281) 370-4491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1326286402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 STUEBNER AIRLINE RD STE C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793708",
            "telephone_number": "281-370-4491",
            "fax_number": "281-370-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 STUEBNER AIRLINE RD STE C",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793708",
            "telephone_number": "281-370-4491",
            "fax_number": "281-370-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAJILCO VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-370-4491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "5725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Chiropractic Clinic & Northwest Spinal Decompression",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.