Active NPI
Scott Young, DC
- Chiropractor
- Laguna Niguel, CA
National Provider Identifier
1750854857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 22217
- Practice address
- 30251 Golden Lantern Ste B
Laguna Niguel, CA 92677-5995 - Phone
- (949) 281-6853
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 22217 | CA | Primary |
Addresses
Primary practice location
30251 Golden Lantern Ste B
Laguna Niguel, CA 92677-5995
Mailing address
30251 Golden Lantern Ste B
Laguna Niguel, CA 92677-5995
Phone (949) 281-6853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22217 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22217 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1750854857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30251 GOLDEN LANTERN STE B",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926775995",
"telephone_number": "949-281-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30251 GOLDEN LANTERN STE B",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926775995",
"telephone_number": "949-281-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "22217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22217",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.