Individual provider Active NPI

Trevon Youman, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1679111371
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12999 Issued in FL
Practice address
4723 W Atlantic Ave Ste 19
Delray Beach, FL 33445-3865
Phone
(561) 277-2369
NPI assigned
Dec 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12999 FL Primary

Addresses

Primary practice location

4723 W Atlantic Ave Ste 19
Delray Beach, FL 33445-3865

Mailing address

11211 Prosperity Farms Rd Ste B104
Palm Beach Gardens, FL 33410-3453
Phone (561) 537-4526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12999FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1679111371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE B104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103453",
            "telephone_number": "561-537-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE STE 19",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453865",
            "telephone_number": "561-277-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUMAN",
        "first_name": "TREVON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.