Individual provider Active NPI

Blake Young, D.C., R.N.

  • Chiropractor
  • Temple, TX
National Provider Identifier
1376901215
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13144 Issued in TX
Practice address
1602 W Avenue a
Temple, TX 76504-4080
Phone
(254) 899-2225
NPI assigned
Feb 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13144 TX Primary

Addresses

Primary practice location

1602 W Avenue a
Temple, TX 76504-4080

Mailing address

1602 W Avenue a
Temple, TX 76504-4080
Phone (254) 899-2225

Other practice location 1

2412 College Hills Blvd
Suite 206
San Angelo, TX 76904-8474
Phone (325) 949-1518

Other identifiers 1

IdentifierTypeStateIssuer
561631YXZKOtherTXMEDICARE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13144TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alvarez Chiropractic Group LLC Chiropractor PastSince May 7, 2024 Accepting new patients
Two Storey Chiropractic PA Chiropractor PastSince Sep 11, 2013 Accepting new patients

Organizations & group practices 2

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": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1376901215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W AVENUE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765044080",
            "telephone_number": "254-899-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W AVENUE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765044080",
            "telephone_number": "254-899-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 College Hills Blvd",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769048474",
            "country_code": "US",
            "telephone_number": "325-949-1518",
            "fax_number": "325-223-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C., R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-07",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "561631YXZK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.