Chad Richard Young, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5013 Issued in MN

Practice address

2785 White Bear Ave N Ste 108
Maplewood, MN 55109-1320

Phone

(651) 415-0418

Fax

(651) 415-0106

NPI assigned

Sep 6, 2007

Last updated

Sep 24, 2019By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specific Health and Chiropractic PLLCGroup PAC ID 1759615297, 2 clinicians

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.

• Specific Health & Chiropractic PLLC

  • Chiropractor
  • Maplewood, MN
  • NPI 1275192197
  Medicare reassignment Care Compare group NPD
• Chad R. Young, DC. PLLC

  dba North Country Chiropractic

  • Chiropractor
  • Anoka, MN
  • NPI 1407160294
  NPD (past) Authorized official
• Minnesota Arthritis Center, PA

  • Physical Medicine & Rehabilitation Physician
  • Maplewood, MN
  • NPI 1740578749
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1912192691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 121ST LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554482139",
            "telephone_number": "763-439-4634",
            "fax_number": "763-445-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N STE 108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091320",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 7th Ave N",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "55303",
            "country_code": "US",
            "telephone_number": "763-439-4634",
            "fax_number": "763-445-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHAD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sharefile",
            "affiliation": "N",
            "endpointDescription": "secure email and cloud back up",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2785 White Bear Ave N Ste 108",
            "city": "Maplewood",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551091320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yong Yang
• Michael Sze Chai Yau, OD
• Amanda J. Ye, M.D.
• Donald Yee-Yick, DDS
• Gang Yin
• Nicole Young, LPCC
• Aliya A Yusuf
• Mariah R Zabolotny, DDS
• Andrew C Zaldivar
• Renee Zasada, DNP

• Chiropractor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.