Individual provider Active NPI

Zachary C Young, DC

  • Chiropractor
  • Kalaheo, HI
National Provider Identifier
1609815711
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1029 Issued in HI
Practice address
2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309
Phone
(808) 332-5580
Fax
(808) 332-5581
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1029 HI Primary

Addresses

Primary practice location

2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309

Mailing address

2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309
Phone (808) 332-5580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051123000190 HI Practitioner - Chiropractic 6901890268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalaheo Wellness Center LLCGroup PAC ID 0446404800, 5 clinicians
Kalaheo Chiropractic Medical and Wellness LLCGroup PAC ID 3375034804, 5 clinicians

Practice addresses (Care Compare)

2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309
Phone (808) 332-5580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1029HIMDChiropractor
28202CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalaheo Chiropractic Medical and Wellness LLC Chiropractor CurrentSince Jan 1, 2026 Accepting new patients
Kalaheo Wellness Center LLC Chiropractor CurrentSince Jan 1, 2013 Accepting new patients
Kapaa Physical Therapy Inc PastSince Jul 24, 2016 Accepting new patients

Locations

4-976 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 332-5580

Organizations & group practices 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1609815711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2527 KAUMUALII HWY",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418309",
            "telephone_number": "808-332-5580",
            "fax_number": "808-332-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2527 KAUMUALII HWY",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418309",
            "telephone_number": "808-332-5580",
            "fax_number": "808-332-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ZACHARY",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.