Individual provider Active NPI

Jeffrey A Young, DC

  • Chiropractor
  • Spring, TX
National Provider Identifier
1760519045
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5725DC Issued in TX
Practice address
18930 Kuykendahl Rd Ste B
Spring, TX 77379-5588
Phone
(281) 370-4491
Fax
(281) 370-4492
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5725DC TX Primary

Addresses

Primary practice location

18930 Kuykendahl Rd Ste B
Spring, TX 77379-5588

Mailing address

18930 Kuykendahl Rd Ste B
Spring, TX 77379-5588
Phone (281) 370-4491

Other identifiers 1

IdentifierTypeStateIssuer
604497OtherTXBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000320 TX Practitioner - Chiropractic 7517017429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17425 Stuebner Airline Rd
C
Spring, TX 77379-3708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5725DCTXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lajilco Ventures LLC CurrentSince Apr 24, 2012 Accepting new patients

Locations

17425 Stuebner Airline Rd
Ste C
Spring, TX 77379
Phone (281) 370-4491

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1760519045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18930 KUYKENDAHL RD STE B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795588",
            "telephone_number": "281-370-4491",
            "fax_number": "281-370-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18930 KUYKENDAHL RD STE B",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795588",
            "telephone_number": "281-370-4491",
            "fax_number": "281-370-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5725DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "604497",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.