Organization Active NPI

Sara Young, PLLC

  • Chiropractor
  • Spring Lake, MI
National Provider Identifier
1982929337
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SY009503 Issued in MI
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
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Sara Young, DCNPI 1194975532
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.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SY009503 MI Primary

Addresses

Primary 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

510 W Savidge St
Ste E
Spring Lake, MI 49456
Phone (231) 287-2035

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.