Active NPI
Sara Young, PLLC
- Chiropractor
- Spring Lake, MI
National Provider Identifier
1982929337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SY009503
- Legal business name
- SARA YOUNG, PLLC
- Practice address
- 510 W Savidge St Ste E
Spring Lake, MI 49456-3108 - Phone
- (616) 850-0588
- Fax
- (616) 850-0590
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Sara Young, DC
- Title
- Owner
- Phone
- (616) 850-0588
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Spring Lake, MI
- NPI 1144201872
-
- Massage Therapist
- Spring Lake, MI
- NPI 1174337208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100518000097 | MI | Part B Supplier - Clinic/Group Practice | 9335277011 |
Receives reassigned benefits from 2 practitioners Practice locations: Spring Lake, MI |
National Provider Directory
National Provider DirectoryLocations
510 W Savidge St
Ste E
Spring Lake, MI 49456
Phone (231) 287-2035
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | SY009503 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Mailing address
510 W Savidge St Ste E
Spring Lake, MI 49456-3108
Phone (616) 850-0588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2010.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269820800000",
"number": "1982929337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W SAVIDGE ST STE E",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494563108",
"telephone_number": "616-850-0588",
"fax_number": "616-850-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W SAVIDGE ST STE E",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494563108",
"telephone_number": "616-850-0588",
"fax_number": "616-850-0590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA YOUNG, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-850-0588",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "SY009503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.