Young S Song, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

02136 Issued in MD

Practice address

3201 Rogers Ave
Suite 102
Ellicott City, MD 21043-4594

Phone

(410) 480-2331

Fax

(410) 480-2337

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carefree Land Chiropractic, LLC

  • Chiropractor
  • Ellicott City, MD
  • NPI 1831373000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1730259177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ROGERS AVE",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434594",
            "telephone_number": "410-480-2331",
            "fax_number": "410-480-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ROGERS AVE",
            "address_2": "SUITE 102",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434594",
            "telephone_number": "410-480-2331",
            "fax_number": "410-480-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "YOUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "001H847",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "618848-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402969100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Dela Cruz Solano, PT
• Solaris Group
• Danielle Sollers, RN
• Jenna Sommers, LMT
• Jea Sub Song
• Tripti Soni, MD
• Bailey Ann Souder
• Michelle Louise Howard Soukiassian
• Jeffrey Soulen, M.D.
• Southeast Psych Services LLC

• Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.