NPIMap

Organization Active NPI

Premier Sports Chiropractic, PLLC

Doing business as Dustin Young Chiropractic

  • Preferred Provider Organization
  • Seabrook, TX
National Provider Identifier
1619250800
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
TX 11462 Issued in TX
Legal business name
PREMIER SPORTS CHIROPRACTIC, PLLC
Doing business as
Dustin Young Chiropractic
Practice address
2100 Nasa Pkwy
Suite 100
Seabrook, TX 77586-3490
Phone
(832) 247-3025
Fax
(281) 291-8899
NPI assigned
Sep 23, 2011
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Dustin Keith Young, D.C.NPI 1447578307
Title
President
Phone
(832) 247-3025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X TX 11462 TX Primary

Addresses

Primary practice location

2100 Nasa Pkwy
Suite 100
Seabrook, TX 77586-3490

Mailing address

2100 Nasa Pkwy
Suite 100
Seabrook, TX 77586-3490
Phone (832) 247-3025

Other names 1

  • Dustin Young Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2825 Nasa Pkwy
Ste 100
Seabrook, TX 77586
Phone (281) 942-9011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1619250800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NASA PKWY",
            "address_2": "SUITE 100",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863490",
            "telephone_number": "832-247-3025",
            "fax_number": "281-291-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NASA PKWY",
            "address_2": "SUITE 100",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775863490",
            "telephone_number": "832-247-3025",
            "fax_number": "281-291-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPORTS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-247-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "TX 11462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dustin Young Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seabrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.