Chad R. Young, DC. PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5013 Issued in MN

Legal business name

CHAD R. YOUNG, DC. PLLC

Practice address

2321 7TH Ave N
Anoka, MN 55303

Phone

(763) 439-4634

Fax

(763) 445-2121

NPI assigned

Aug 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chad Richard Young, D.C.NPI 1912192691

Title

President

Phone

(763) 439-4634

Specialties & licenses 1

Addresses

Other names 1

• North Country Chiropractic Doing business as

Practitioners 1

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

• Chad Richard Young, D.C.

  • Chiropractor
  • Maplewood, MN
  • NPI 1912192691
  NPD (past) Authorized official

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1407160294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 121ST LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482139",
            "telephone_number": "763-439-4634",
            "fax_number": "763-445-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 7TH AVE N",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "55303",
            "telephone_number": "763-439-4634",
            "fax_number": "763-445-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD R. YOUNG, DC. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-439-4634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Country Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Carpentier
• Virgil Wayne Carroll, ATC/R
• Mara Lynn Carson, OTR
• Andrea L Carter
• Lynette Rose Catapano, OD PC
• Richard Wade Chamberlin, LMFT
• Cecilia Pazong Chang
• Justin Ray Cheatwood
• Amy Theresa CHI, D.D.S.
• Mildred Muyang CHI, PHARM.D

• Chiropractor in Anoka, MN
• Providers in Anoka, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.