Active NPI
Michael L Youtzy, DC
- Chiropractor
- Delta, CO
National Provider Identifier
1366775868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR-6735
- Practice address
- 540 Main Street Ste 109
Delta, CO 81416-1834 - Phone
- (970) 874-0555
- NPI assigned
- Sep 15, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-22497 | CA | |
| Chiropractor | 111N00000X | 038-008420 | IL | |
| Chiropractor | 111N00000X | CHR-6735 | CO | Primary |
Addresses
Primary practice location
540 Main Street Ste 109
Delta, CO 81416-1834
Mailing address
540 Main St Ste 109
Delta, CO 81416-1834
Phone (970) 874-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-22497 | CA | MD | Chiropractor |
| CHR-6735 | CO | MD | Chiropractor |
| 038-008420 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Dirk Lawyer DC Inc | 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 and National Provider Directory roles.
-
- Chiropractor
- Anchorage, AK
- NPI 1528127982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1366775868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 MAIN ST STE 109",
"city": "DELTA",
"state": "CO",
"postal_code": "814161834",
"telephone_number": "970-874-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 MAIN STREET STE 109",
"city": "DELTA",
"state": "CO",
"postal_code": "814161834",
"telephone_number": "970-874-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUTZY",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-22497",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008420",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR-6735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.