Organization Active NPI

Young Chiropractic

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1689973547
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9843 Issued in FL
Legal business name
YOUNG CHIROPRACTIC
Practice address
11444 S Apopka Vineland Rd # 106a
Orlando, FL 32836-7009
Phone
(407) 238-2306
Fax
(407) 238-2309
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Dr. David Anthony Young, D.C.NPI 1982920864
Title
Owner
Phone
(407) 461-0038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 9843 FL Primary

Addresses

Primary practice location

11444 S Apopka Vineland Rd # 106a
Orlando, FL 32836-7009

Mailing address

11444 S Apopka Vineland Rd # 106a
Orlando, FL 32836-7009
Phone (407) 238-2306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180413001841 FL Part B Supplier - Clinic/Group Practice 3870856321 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2101320Young Chiropractic LLC11444 S Apopka Vine Land Rd Ste 106a, Orlando, FL 32836Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

11444 S Apopka Vineland Rd
#106A
Orlando, FL 32836
Phone (407) 238-2306

11444 S Apopka Vineland Rd
Ste 106A
Orlando, FL 32836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1689973547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11444 S APOPKA VINELAND RD # 106A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367009",
            "telephone_number": "407-238-2306",
            "fax_number": "407-238-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11444 S APOPKA VINELAND RD # 106A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367009",
            "telephone_number": "407-238-2306",
            "fax_number": "407-238-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-461-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.