Organization Active NPI

Marc Christopher Young Chartered

Doing business as Carson Valley Foot Care

  • Durable Medical Equipment & Medical Supplies
  • Gardnerville, NV
National Provider Identifier
1750552030
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9814 Issued in NV
Legal business name
MARC CHRISTOPHER YOUNG CHARTERED
Doing business as
Carson Valley Foot Care
Practice address
1482 US Highway 395 N
Gardnerville, NV 89410-5208
Phone
(775) 783-1122
Fax
(775) 783-0868
NPI assigned
Mar 14, 2008
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Marc C Young, DPMNPI 1831124783
Title
Owner
Phone
(775) 783-1122

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
Durable Medical Equipment & Medical Supplies 332B00000X 9814 NV Primary

Addresses

Primary practice location

1482 US Highway 395 N
Gardnerville, NV 89410-5208

Mailing address

1482 US Highway 395 N
Gardnerville, NV 89410-5208
Phone (775) 783-1122

Other names 1

  • Carson Valley Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000123 NV Part B Supplier - Clinic/Group Practice 7810976024 Receives reassigned benefits from 1 practitioner
Practice locations: Minden, NV

National Provider Directory

National Provider Directory

Locations

2175 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5711

1482 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 783-1122

925 Ironwood Dr
Ste 1103
Minden, NV 89423
Phone (775) 782-0022

800 Kuenzli St
Reno, NV 89502
Phone (775) 783-1122

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1750552030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105208",
            "telephone_number": "775-783-1122",
            "fax_number": "775-783-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105208",
            "telephone_number": "775-783-1122",
            "fax_number": "775-783-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC CHRISTOPHER YOUNG CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-783-1122",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "9814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Valley Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.