Individual provider Active NPI

Michael L Youtzy, DC

  • Chiropractor
  • Delta, CO
National Provider Identifier
1366775868
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR-6735 Issued in CO
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

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC-22497CAMDChiropractor
CHR-6735COMDChiropractor
038-008420ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.