Organization Active NPI

Young and Graham PC

  • Chiropractor
  • Canon City, CO
National Provider Identifier
1710423447
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007215 Issued in CO
Legal business name
YOUNG AND GRAHAM PC
Practice address
109 Latigo LN
Suite a
Canon City, CO 81212-8112
Phone
(719) 276-3189
Fax
(719) 276-2381
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Melissa Oswald, DC
Title
Chiropractor
Phone
(719) 276-3189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHR.0007215 CO Primary

Addresses

Primary practice location

109 Latigo LN
Suite a
Canon City, CO 81212-8112

Mailing address

109 Latigo LN
Suite a
Canon City, CO 81212-8112
Phone (719) 276-3189

Other names 1

  • FREMONT COUNTY CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fremont County Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1710423447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LATIGO LN",
            "address_2": "SUITE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128112",
            "telephone_number": "719-276-3189",
            "fax_number": "719-276-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LATIGO LN",
            "address_2": "SUITE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128112",
            "telephone_number": "719-276-3189",
            "fax_number": "719-276-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AND GRAHAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "719-276-3189",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREMONT COUNTY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.