Young and Graham, P.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

4092 Issued in CO

Legal business name

YOUNG AND GRAHAM, P.C.

Doing business as

Pueblo Chiropractic Center

Practice address

1211 Paseo del Norte
Pueblo, CO 81008

Phone

(719) 542-1399

Fax

(719) 583-2024

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Raelynn Flores

Title

Office Manager

Phone

(719) 542-1399

Specialties & licenses 2

Addresses

Other names 1

• PUEBLO CHIROPRACTIC CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Fremont County Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Young and Graham PC

  dba Fremont County Chiropractic

  • Chiropractor
  • Canon City, CO
  • NPI 1710423447
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Joseph Graham, DC

  • Occupational Health Chiropractor
  • Pueblo, CO
  • NPI 1073733937
  Medicare reassignment Care Compare group NPD
• Eric M Young, D.C

  • Occupational Health Chiropractor
  • Pueblo, CO
  • NPI 1356561211
  Medicare reassignment Care Compare group
• Scott J Griffin, DC

  • Chiropractor
  • Tempe, AZ
  • NPI 1467599266
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1588732655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PASEO DEL NORTE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-542-1399",
            "fax_number": "719-583-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PASEO DEL NORTE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-542-1399",
            "fax_number": "719-583-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AND GRAHAM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RAELYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-542-1399"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "CO",
            "license": "4092",
            "primary": true
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "CO",
            "license": "3389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUEBLO CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PUEBLO CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leo Ybarra
• Erin Darby Yeates, AGPCNP-BC
• Charlotte K Yianakopulos-Veatch
• Maegan Yoder
• Ashley Youmans, OTR/L
• Young at Heart Dentistry
• Donald J Young, NP
• Eric M Young, D.C
• Kathy Ann Young
• Melissa Lyn Young, FNP

• Occupational Health Chiropractor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Occupational Health Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.