Individual provider Active NPI

Zachery Mack Young, DC, ND

  • Chiropractor
  • Richland, WA
National Provider Identifier
1922627892
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61031819 Issued in WA
Practice address
110 Columbia Point Dr
Richland, WA 99352-4387
Phone
(509) 946-7692
Fax
(509) 943-8639
NPI assigned
Apr 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61031819 WA Primary

Addresses

Primary practice location

110 Columbia Point Dr
Richland, WA 99352-4387

Mailing address

110 Columbia Point Dr
Richland, WA 99352-4387
Phone (509) 946-7692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200807002530 WA Practitioner - Chiropractic 9638594062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Wellness Center,LLCGroup PAC ID 1456428218, 3 clinicians

Practice addresses (Care Compare)

110 Columbia Point Dr
Richland, WA 99352-4387
Phone (509) 946-7692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61031819WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Wellness Center LLC Chiropractor CurrentSince Jul 21, 2020 Accepting new patients
Cantley Vision Inc PS PastSince Jul 21, 2020 Accepting new patients

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1922627892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-946-7692",
            "fax_number": "509-943-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-946-7692",
            "fax_number": "509-943-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ZACHERY",
        "middle_name": "MACK",
        "name_prefix": "Dr.",
        "credential": "DC, ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61031819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.