Organization Active NPI

Young Life Chiropractic PLLC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1982168167
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
YOUNG LIFE CHIROPRACTIC PLLC
Practice address
600 NW 23Rd St Ste 102
Oklahoma City, OK 73103-1464
Phone
(405) 459-0183
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Alasha Young, DCNPI 1326557786
Title
Owner
Phone
(405) 459-0183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

600 NW 23Rd St Ste 102
Oklahoma City, OK 73103-1464

Mailing address

600 NW 23Rd St Ste 102
Oklahoma City, OK 73103-1464
Phone (405) 459-0183

Other identifiers 1

IdentifierTypeStateIssuer
1326557786OtherTXNPI

Other names 1

  • Young Life Chiropractic LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218000493 OK Part B Supplier - Clinic/Group Practice 9133467194 Receives reassigned benefits from 4 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

600 NW 23rd St
Ste 102
Oklahoma City, OK 73103
Phone (405) 459-0183

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1982168167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 23RD ST STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031464",
            "telephone_number": "405-459-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 23RD ST STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731031464",
            "telephone_number": "405-459-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG LIFE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ALASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-459-0183",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326557786",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Life Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.