Individual provider Active NPI

Inyoung Yang, D.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1861761587
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3599 Issued in MA
Practice address
30 Fenway Ste 1
Boston, MA 02215-4016
Phone
(857) 990-3721
Fax
(857) 336-6878
NPI assigned
Dec 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3599 MA Primary

Addresses

Primary practice location

30 Fenway Ste 1
Boston, MA 02215-4016

Mailing address

30 Fenway Ste 1
Boston, MA 02215-4016
Phone (857) 990-3721

Other identifiers 1

IdentifierTypeStateIssuer
3599OtherMACHIROPRACTOR LICENSE

Other names 1

  • Ms. In-Young Yang Former name

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

LicenseStateTypeSpecialty
3599MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Chiropractic & Wellness, Inc. Chiropractor Current Accepting new patients
Evolve Chiropractic & Wellness, Inc. Current Accepting new patients

Locations

30 Fenway
Ste 1
Boston, MA 02215
Phone (213) 570-0068

Organizations & group practices 2

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": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1861761587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FENWAY STE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154016",
            "telephone_number": "857-990-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FENWAY STE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154016",
            "telephone_number": "857-990-3721",
            "fax_number": "857-336-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "INYOUNG",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE",
            "identifier": "3599",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IN-YOUNG",
            "last_name": "YANG",
            "prefix": "MS.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.