Robert Roy De Young II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 4420 Issued in MN

Practice address

103 Center Dr
Suite 200
Buffalo, MN 55313-2957

Phone

(763) 682-0611

Fax

(763) 682-0788

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Regenerative Medicine Ctr MN

  • Family Medicine Physician
  • Buffalo, MN
  • NPI 1174183040
  NPD

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1811185309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTER DR",
            "address_2": "SUITE 200",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132957",
            "telephone_number": "763-682-0611",
            "fax_number": "763-682-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTER DR",
            "address_2": "SUITE 200",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132957",
            "telephone_number": "763-682-0611",
            "fax_number": "763-682-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE YOUNG",
        "first_name": "ROBERT",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC 4420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Danielson
• Patricia Davison, RN
• Christine Ann Dawson, LICSW, LIMHP
• Lacey May Decker
• Anthony Ryan Dehler, PHARMD
• Christine Ingrid Delmonico, M.D.
• Dental Care Associates of Buffalo PA
• Glen Alfred Deutsch, MD

• Chiropractor in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.