Organization Active NPI

Young C & a

Doing business as Young Chiropractic Clinic

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1740307180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3067 Issued in TX
Legal business name
YOUNG C & A
Doing business as
Young Chiropractic Clinic
Practice address
4201 Avenue R
Lubbock, TX 79412-1737
Phone
(806) 763-8361
Fax
(806) 762-6383
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry Joe Young, D.C.NPI 1003933425
Title
Chiropractor
Phone
(806) 763-8361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3067 TX Primary

Addresses

Primary practice location

4201 Avenue R
Lubbock, TX 79412-1737

Mailing address

4201 Avenue R
Lubbock, TX 79412-1737
Phone (806) 763-8361

Other identifiers 1

IdentifierTypeStateIssuer
3067OtherTXCHIROPRACTIC LICENSE

Other names 1

  • Young Chiropractic Clinic Doing business as

National Provider Directory

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740307180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 AVENUE R",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121737",
            "telephone_number": "806-763-8361",
            "fax_number": "806-762-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 AVENUE R",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121737",
            "telephone_number": "806-763-8361",
            "fax_number": "806-762-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG C & A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "806-763-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "3067",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.