Organization Active NPI

Thomas J Young DC ND PS

Doing business as Lakewood Family Medicine & Chiropractic

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1689983132
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 2085 Issued in WA
Legal business name
THOMAS J YOUNG DC ND PS
Doing business as
Lakewood Family Medicine & Chiropractic
Practice address
8909 Gravelly Lake Dr SW
Lakewood, WA 98499-3101
Phone
(253) 584-2244
Fax
(253) 588-5060
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Thomas James Young, ND DC
Title
Owner
Phone
(253) 584-1144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH 2085 WA Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT 558 WA

Addresses

Primary practice location

8909 Gravelly Lake Dr SW
Lakewood, WA 98499-3101

Mailing address

8909 Gravelly Lake Dr SW
Lakewood, WA 98499-3101
Phone (253) 584-2244

Other names 1

  • Lakewood Family Medicine & Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

8909 Gravelly Lake Dr SW
Tacoma, WA 98499
Phone (253) 584-1144

Practitioners & affiliated clinicians

Practitioners 11

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": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1689983132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993101",
            "telephone_number": "253-584-2244",
            "fax_number": "253-588-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993101",
            "telephone_number": "253-584-2244",
            "fax_number": "253-588-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J YOUNG DC ND PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-584-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 2085",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Family Medicine & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.