Young Chiropractic & Rehabilitation Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

YOUNG CHIROPRACTIC & REHABILITATION CENTER LLC

Practice address

10351 Portal Rd Ste 103
La Vista, NE 68128-5543

Phone

(402) 339-2283

Fax

(402) 339-2289

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter K Young, D. C.NPI 1427242064

Title

President

Phone

(402) 339-2283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Kevin Young, D.C.

  • Chiropractor
  • La Vista, NE
  • NPI 1427242064
  Medicare reassignment Care Compare group NPD Authorized official
• Sheldon George Brown, D.C.

  • Chiropractor
  • La Vista, NE
  • NPI 1043490295
  Medicare reassignment Care Compare group NPD
• Patrick B Fisher, DC

  • Chiropractor
  • La Vista, NE
  • NPI 1538912365
  Medicare reassignment Care Compare group NPD
• Thomas J Morehead Jr., D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1760545149
  NPD (past)
• Maggie Nicholson, DPT

  • Physical Therapist
  • Omaha, NE
  • NPI 1578817748
  NPD (past)
• Derek Scholl, D.C.

  • Chiropractor
  • Lincoln, NE
  • NPI 1134505696
  NPD (past)
• Brooke L Sloan, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1801259668
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1952598096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10351 PORTAL RD STE 103",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285543",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10351 PORTAL RD STE 103",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285543",
            "telephone_number": "402-339-2283",
            "fax_number": "402-339-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CHIROPRACTIC & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-339-2283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xceed Testing, LLC
• Tyler Yates
• Nyathuok Yiel
• Erin Yost
• Eric Youmeni
• Young Health & Wellness Center
• Peter Kevin Young, D.C.
• Shawna Young, RN
• Your Hometown Pharmacy Inc
• Jennifer Ziola

• Chiropractor in La Vista, NE
• Providers in La Vista, NE by specialty
• Chiropractor in Nebraska

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