Young Chiropractic and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557190 Issued in VA

Legal business name

YOUNG CHIROPRACTIC AND REHAB, LLC

Practice address

10400 Eaton PL Ste 410
Fairfax, VA 22030-2208

Phone

(703) 246-0025

Fax

(703) 246-0017

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Scott Young, D.C.

Title

Chiropractor

Phone

(703) 246-0025

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1811408685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302208",
            "telephone_number": "703-246-0025",
            "fax_number": "703-246-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302208",
            "telephone_number": "703-246-0025",
            "fax_number": "703-246-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CHIROPRACTIC AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "703-246-0025",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043614308",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• You Are Beautiful Surgical Center (Capital Cosmetic Surgery Center)
• Eric Young You, M.D.
• Jan Youell
• George Younan, M.D.
• Farnaz Younessian
• Amy Ellen Young
• Brenda Jean Young, DDS
• Casey Lee Young
• Cecilia T Young, M.D.
• Diane Elizabeth Young, BCABA, LABA

• Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.