Individual provider Active NPI

Jeffrey William Deyoung, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1871500074
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13862 Issued in TX
Practice address
8106 Brodie LN Ste 107
Austin, TX 78745
Phone
(512) 442-7999
Fax
(512) 442-8244
NPI assigned
Aug 1, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR007758 GA
Chiropractor 111N00000X 13862 TX Primary
Chiropractor 111N00000X 21938 CA

Addresses

Primary practice location

8106 Brodie LN Ste 107
Austin, TX 78745

Mailing address

8106 Brodie LN Ste 107
Austin, TX 78745-7468
Phone (512) 442-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181121002489 TX Practitioner - Chiropractic 2365483419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8103 Brodie LN
Suite 2
Austin, TX 78745-7473

8103 Brodie LN
Suite 2
Austin, TX 78745-7475
Phone (512) 442-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
13862TXMDProfessional Counselor
21938CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deyoung Chiropractic, LLC CurrentSince Aug 15, 2018 Accepting new patients
Tipton Chiropractic LLC PastSince Aug 1, 2021 Accepting new patients

Locations

8103 Brodie Ln
Ste 2
Austin, TX 78745
Phone (512) 442-7999

8106 Brodie Ln
Ste 107
Austin, TX 78745
Phone (512) 442-7999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1871500074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 BRODIE LN STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457468",
            "telephone_number": "512-442-7999",
            "fax_number": "512-442-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 BRODIE LN STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-442-7999",
            "fax_number": "512-442-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007758",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13862",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21938",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.