Jacob Young, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

072778 Issued in IA

Practice address

401 S Gilbert St
Ste 101
Iowa City, IA 52240-4970

Phone

(319) 337-6000

NPI assigned

Jun 16, 2014

Last updated

Feb 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

• Freedom Health LLC

  • Chiropractor
  • Donnellson, IA
  • NPI 1376403618
  Medicare reassignment NPD Authorized official
• Black & Gold Chiropractic & Wellness LLC

  • Chiropractor
  • Iowa City, IA
  • NPI 1538559117
  NPD (past) Authorized official
• Fackler Acquisition LLC

  • Chiropractor
  • Iowa City, IA
  • NPI 1962296046
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1891109096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S GILBERT ST",
            "address_2": "STE 101",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404970",
            "telephone_number": "319-337-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GILBERT ST",
            "address_2": "STE 101",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404970",
            "telephone_number": "319-337-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JACOB",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012612",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "072778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Mohamad Youness, MBBS
• Amanda Young
• Cheri R Young, R.PH.
• David Wayne Young, L.M.F.T.
• Elizabeth Loa Young, PA-C
• Jessica Diane Young, MSN,ARNP,AGACNP-BC
• Jessica Leigh Young, D.C.
• Laura M Young, DPT
• Georgianne Younger, LGC
• Jakub Youngstrom

• Chiropractor in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.