Organization Active NPI

Young Chiropractic LLC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1649237421
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004660L Issued in PA
Legal business name
YOUNG CHIROPRACTIC LLC
Practice address
2431 W 26TH St
Erie, PA 16506-3220
Phone
(814) 838-9898
Fax
(814) 838-8702
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd S. McCloy, D.C.
Title
Ceo
Phone
(814) 838-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC004660L PA Primary

Addresses

Primary practice location

2431 W 26TH St
Erie, PA 16506-3220

Mailing address

2431 W 26TH St
Erie, PA 16506-3220
Phone (814) 838-9898

Other identifiers 1

IdentifierTypeStateIssuer
677404OtherPAHIGHMARK BS GROUP

National Provider Directory

National Provider Directory

Locations

2431 W 26th St
Erie, PA 16506
Phone (814) 838-9898

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649237421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063220",
            "telephone_number": "814-838-9898",
            "fax_number": "814-838-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063220",
            "telephone_number": "814-838-9898",
            "fax_number": "814-838-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLOY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-838-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004660L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS GROUP",
            "identifier": "677404",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.