Active NPI
Eric M Young, D.C
- Occupational Health Chiropractor
- Pueblo, CO
National Provider Identifier
1356561211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 4092
- Practice address
- 1211 Paseo del Norte
Pueblo, CO 81008 - Phone
- (719) 542-1399
- Fax
- (719) 583-2024
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 4092 | CO | Primary |
Addresses
Primary practice location
1211 Paseo del Norte
Pueblo, CO 81008
Mailing address
1211 Paseo del Norte
Pueblo, CO 81008
Phone (719) 542-1399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 Paseo del Norte
Pueblo, CO 81008-2083
Phone (719) 542-1399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4092 | CO | MD | Physical Therapist |
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.
-
- Occupational Health Chiropractor
- Pueblo, CO
- NPI 1588732655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1356561211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 PASEO DEL NORTE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81008",
"telephone_number": "719-542-1399",
"fax_number": "719-583-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 PASEO DEL NORTE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81008",
"telephone_number": "719-542-1399",
"fax_number": "719-583-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ERIC",
"middle_name": "M",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2023-02-16",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CO",
"license": "4092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.