Peter Kevin Young, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1467 Issued in NE

Practice address

10351 Portal Rd Ste 103
La Vista, NE 68128-5543

Phone

(402) 707-4897

Fax

(402) 339-2289

NPI assigned

Aug 28, 2007

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Young Chiropractic and Rehabilitation Center, LLCGroup PAC ID 1355439555, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Young Chiropractic & Rehabilitation Center LLC

  • Chiropractor
  • La Vista, NE
  • NPI 1952598096
  Medicare reassignment Care Compare group NPD Authorized official
• Bennington Spine

  dba Young Chiropractic & Rehabilitation Center

  • Chiropractor
  • Bennington, NE
  • NPI 1578342226
  Medicare reassignment NPD Authorized official
• Integrated Care LLC

  dba Integrated Rehab

  • Occupational Medicine Clinic/Center
  • Omaha, NE
  • NPI 1255675138

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1427242064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 PORTAL RD STE 103",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285543",
            "telephone_number": "402-707-4897",
            "fax_number": "402-339-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 PORTAL RD STE 103",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285543",
            "telephone_number": "402-707-4897",
            "fax_number": "402-339-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PETER",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyathuok Yiel
• Erin Yost
• Eric Youmeni
• Young Chiropractic & Rehabilitation Center LLC
• Young Health & Wellness Center
• Shawna Young, RN
• Your Hometown Pharmacy Inc (Core LTC Pharmacy)
• Jennifer Ziola
• Kristee Zoloty, D.O.
• Fatimah Zoungrana

• Chiropractor in La Vista, NE
• Providers in La Vista, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.