Individual provider Active NPI

Michael Young, DC

  • Chiropractor
  • Mill Creek, WA
National Provider Identifier
1588305254
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH.61271558 Issued in WA
Practice address
16212 Bothell Everett Hwy Ste E
Mill Creek, WA 98012-1235
Phone
(425) 745-4430
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH.61271558 WA Primary

Addresses

Primary practice location

16212 Bothell Everett Hwy Ste E
Mill Creek, WA 98012-1235

Mailing address

11922 197TH St SE
Snohomish, WA 98296-8179
Phone (425) 361-6746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617001680 WA Practitioner - Chiropractic 7113306309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mill Creek Spine and Injury Inc PSGroup PAC ID 9335405265, 2 clinicians

Practice addresses (Care Compare)

16212 Bothell Everett Hwy
Suite E
Mill Creek, WA 98012-1235
Phone (425) 745-4430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH.61271558WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Creek Chiropractic Clinic, PS Chiropractor CurrentSince Apr 10, 2022 Accepting new patients
Mill Creek Spine and Injury, Inc., P.S. Chiropractor CurrentSince Jun 7, 2022 Accepting new patients

Locations

16212 Bothell Hwy
Ste E
Mill Creek, WA 98012
Phone (425) 745-4430

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1588305254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 197TH ST SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968179",
            "telephone_number": "425-361-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16212 BOTHELL EVERETT HWY STE E",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121235",
            "telephone_number": "425-745-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH.61271558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.