Individual provider Active NPI

Michael A Young, DC PC

  • Chiropractor
  • Canandaigua, NY
National Provider Identifier
1487723037
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008296 Issued in NY
Practice address
325 West St Ste 102
Canandaigua, NY 14424-1787
Phone
(585) 398-2420
Fax
(585) 905-0123
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008296 NY Primary

Addresses

Primary practice location

325 West St Ste 102
Canandaigua, NY 14424-1787

Mailing address

325 West St Ste 102
Canandaigua, NY 14424-1787
Phone (585) 398-2420

Other practice location 1

7079 Valentown Rd
Victor, NY 14564-9542
Phone (585) 398-2420

Other identifiers 5

IdentifierTypeStateIssuer
100262ANOtherNYPREFERRED CARE
CO8296-8OtherNYWORKERS COMPENSATION
P050008296OtherNYBLUE CROSS BLUE SHIELD
P010008296OtherNYBLUE CHOICE PROVIDER #
04595828MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000675 NY Practitioner - Chiropractic 7315076601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young ChiropracticGroup PAC ID 7012046378, 2 clinicians

Practice addresses (Care Compare)

325 W St
Suite 102
Canandaigua, NY 14424-1787
Phone (585) 398-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008296NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Young Chiropractic Chiropractor CurrentSince Feb 7, 2010 Accepting new patients
Newark Wayne Community Hospital Past Accepting new patients
Jason Thomas Swinton D.C. P.L.L.C. Chiropractor Past Accepting new patients

Locations

325 West St
Ste 102
Canandaigua, NY 14424
Phone (585) 396-1120

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1487723037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WEST ST STE 102",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241787",
            "telephone_number": "585-398-2420",
            "fax_number": "585-577-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WEST ST STE 102",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241787",
            "telephone_number": "585-398-2420",
            "fax_number": "585-905-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7079 Valentown Rd",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649542",
            "country_code": "US",
            "telephone_number": "585-398-2420",
            "fax_number": "585-577-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100262AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "CO8296-8",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P050008296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE PROVIDER #",
            "identifier": "P010008296",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04595828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.