Individual provider Active NPI

Aaron Young, DC

  • Chiropractor
  • Trophy Club, TX
National Provider Identifier
1487978649
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12671 Issued in TX
Practice address
625 Parkview Dr Ste 103
Trophy Club, TX 76262-4218
Phone
(843) 714-0062
NPI assigned
Mar 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12671 TX Primary

Addresses

Primary practice location

625 Parkview Dr Ste 103
Trophy Club, TX 76262-4218

Mailing address

625 Parkview Dr Ste 103
Trophy Club, TX 76262-4218
Phone (843) 714-0062

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
12671TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic of Charleston, Inc. Chiropractor CurrentSince Sep 18, 2010 Accepting new patients

Locations

7565 Rivers Ave
Ste C
North Charleston, SC 29406
Phone (843) 518-7165

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1487978649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DR STE 103",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762624218",
            "telephone_number": "843-714-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PARKVIEW DR STE 103",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762624218",
            "telephone_number": "843-714-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.