NPIMap

Organization Active NPI

Young Family Chiropractic

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1578869152
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60167543 Issued in WA
Legal business name
YOUNG FAMILY CHIROPRACTIC
Practice address
450 Port Orchard Blvd
Suite 390
Port Orchard, WA 98366-4705
Phone
(360) 602-0893
Fax
(360) 602-0895
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Jennifer A Young, DC
Title
Doctor/Owner
Phone
(360) 602-0893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH60167543 WA Primary

Addresses

Primary practice location

450 Port Orchard Blvd
Suite 390
Port Orchard, WA 98366-4705

Mailing address

450 Port Orchard Blvd
Suite 390
Port Orchard, WA 98366-4705
Phone (360) 602-0893

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1578869152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PORT ORCHARD BLVD",
            "address_2": "SUITE 390",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664705",
            "telephone_number": "360-602-0893",
            "fax_number": "360-602-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PORT ORCHARD BLVD",
            "address_2": "SUITE 390",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664705",
            "telephone_number": "360-602-0893",
            "fax_number": "360-602-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "360-602-0893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60167543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.