NPIMap

Organization Active NPI

A. Young Incorporated

  • Chiropractor
  • Boise, ID
National Provider Identifier
1871987248
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
A. YOUNG INCORPORATED
Practice address
2404 S Orchard St Ste 800
Boise, ID 83705-6725
Phone
(208) 345-2222
NPI assigned
Mar 24, 2015
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Jennifer Clover
Title
Billing Manager
Phone
(208) 345-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2404 S Orchard St Ste 800
Boise, ID 83705-6725

Mailing address

3256 W Agate CT
Boise, ID 83705-1770
Phone (208) 724-0990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170216002146 ID Part B Supplier - Clinic/Group Practice 7618250655 Receives reassigned benefits from 8 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1871987248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 W AGATE CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051770",
            "telephone_number": "208-724-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S ORCHARD ST STE 800",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056725",
            "telephone_number": "208-345-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. YOUNG INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "208-345-2222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.