Individual provider Active NPI

Jeanne M Young, DC PC

  • Neurology Chiropractor
  • Bend, OR
National Provider Identifier
1710954565
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
272670 Issued in OR
Practice address
777 NW Wall St
Suite 100
Bend, OR 97701-2731
Phone
(541) 389-5232
Fax
(541) 389-5232
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 272670 OR Primary

Addresses

Primary practice location

777 NW Wall St
Suite 100
Bend, OR 97701-2731

Mailing address

777 NW Wall St
100
Bend, OR 97701-2731
Phone (541) 389-5232

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
2670ORMDClinical Psychologist
272670ORMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanne Young DC PC Neurology PastSince Apr 1, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1710954565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW WALL ST",
            "address_2": "100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012731",
            "telephone_number": "541-389-5232",
            "fax_number": "541-389-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW WALL ST",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012731",
            "telephone_number": "541-389-5232",
            "fax_number": "541-389-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "DC PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OR",
            "license": "272670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.