Organization Active NPI

Young Life Chiropractic LLC

  • Chiropractor
  • Plano, TX
National Provider Identifier
1598250904
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13756 Issued in TX
Legal business name
YOUNG LIFE CHIROPRACTIC LLC
Practice address
4708 W Plano Pkwy Ste 300
Plano, TX 75093-5336
Phone
(214) 606-8611
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Melissa Ann Young, DC
Title
Chiropractor
Phone
(918) 706-1635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13756 TX Primary

Addresses

Primary practice location

4708 W Plano Pkwy Ste 300
Plano, TX 75093-5336

Mailing address

3100 Independence Pkwy Ste 311
Plano, TX 75075-1997

National Provider Directory

National Provider Directory

Locations

4708 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 265-8100

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1598250904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 INDEPENDENCE PKWY STE 311",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750751997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935336",
            "telephone_number": "214-606-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "918-706-1635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.