Active NPI
Young and Graham PC
- Chiropractor
- Canon City, CO
National Provider Identifier
1710423447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007215
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider Directory- Tax ID family
- Fremont County Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Health Chiropractor
- Pueblo, CO
- NPI 1588732655
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Health Chiropractor
- Pueblo, CO
- NPI 1073733937
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.