DR. PETER KEVIN YOUNG (NPI# 1427242064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427242064 |
| Entity Type | Individual |
| Full Name | DR. PETER KEVIN YOUNG |
| Credential | D.C. |
| Practice Address |
9825 Giles Rd Suite F Lavista NE 68128-2926 |
| Mailing Address |
6746 South 191st Avenue Omaha NE 68135-4285 |
| Practice Telephone | 4027074897 |
| Practice Fax Number | 4023392289 |
| Mailing Telephone | 4027074897 |
| Mailing Fax Number | 4023392289 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2012-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1467 | NE | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366568370 | Peter P Young Jr. | Dentist | 412 W Colorado St, Suite C, Glendale, CA 91204-3097 | 2007-03-21 |
| 1235153669 | Peter H Young | Physical Therapist | 3970 Harlem Rd, Amherst, NY 14226 | 2006-07-27 |
| 1326090770 | Peter Bernhart Young | Clinical Neuropsychologist | 10820 Kingston Pike, Suite 21, Knoxville, TN 37934-3066 | 2006-05-16 |
| 1700835287 | Peter Young | Physical Therapist | 316 E Las Tunas Dr Ste 205, San Gabriel, CA 91776-1535 | 2006-05-10 |
| 1376543108 | Peter S Young | Internal Medicine | 10815 W Mcdowell Rd Ste 305, Avondale, AZ 85392-5016 | 2005-07-22 |
| 1679109524 | Peter S Young | Social Worker | 16565 Ne 4th Ave, Miami, FL 33162-3511 | 2020-03-22 |
| 1235690207 | Peter Young | Radiology | 300 University Blvd, Galveston, TX 77555-3055 | 2019-03-30 |
| 1295207363 | Peter Ashton Young | Dermatology | 40 Four Mile Dr Ste 7, Kalispell, MT 59901-2655 | 2018-12-29 |
| 1043743461 | Peter Young | Student in an Organized Health Care Education/Training Program | 177 Fort Washington Ave, Internal Medicine Residency Office, Floor 6, Center 12, New York, NY 10032-3733 | 2017-04-04 |
| 1619332889 | Peter Young Vi | Psychologist | 3191 Churn Creek Rd, Redding, CA 96002-2123 | 2015-12-15 |
| Street Address |
9825 GILES RD SUITE F |
| City | LAVISTA |
| State | NE |
| Zip Code | 68128-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589746 | Ruth Ann Moses | Prevention Professional | 7030 S 110th St, Omaha, NE 68128 | 2018-08-29 |
| 1972945897 | Jenna Leigh Graeve | Physical Therapist | 7040 S 114th St Plz Apt 203, La Vista, NE 68128 | 2013-07-19 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1730118233 | Donald R Krysl | Optometrist | 8102 S 84th St, Lavista, NE 68128 | 2006-06-30 |
| 1073030607 | September Leigh Wanzenried | Family Medicine | 6901 S 84th St, La Vista, NE 68128 | 2017-08-24 |
| 1518312719 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1245685445 | Costco Wholesale Corporation | Hearing Aid Equipment | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1386011971 | Kelsey Klatt | Occupational Therapist | 6960 S 110th St, La Vista, NE 68128 | 2015-08-31 |
| Find all providers in zip 68128 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477004513 | Pro Health Pain & Rehab LLC. | Chiropractor | 12744 Westport Parkway, Suite 1e, Lavista, NE 68138 | 2016-10-24 |
| 1942403852 | Holl Family Chiropractic | Chiropractor | 7318 Harrison St, Lavista, NE 68128-2904 | 2007-06-07 |
| 1790729804 | Ronald Russell Evans | Chiropractor | 9310 Hillcrest Dr, Lavista, NE 68128-2495 | 2006-06-16 |
| 1992788285 | Randy K Gerdts | Chiropractor | 7514 S 84th St, Lavista, NE 68128-2424 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019792 | Integrative Chiropractic & Functional Medicine Clinic, LLC | Chiropractor | 11922 Standing Stone Dr Ste 200, Gretna, NE 68028-3887 | 2020-10-06 |
| 1932713674 | Dalton Sealey | Chiropractor | 4638 Dodge St, Omaha, NE 68132-3234 | 2020-09-01 |
| 1154935807 | Bruce Eshelman | Chiropractor | 909 Capitol Ave Apt 507, Omaha, NE 68102-1295 | 2020-09-01 |
| 1003427055 | Andrew Jacob Gerald Marie Miller | Chiropractor | 2441 N Diers Ave, Grand Island, NE 68803-1240 | 2020-08-13 |
| 1417567900 | Bennett Holt | Chiropractor | 3215 22nd St Ste C, Columbus, NE 68601-3181 | 2020-08-09 |
| 1760092969 | Universal Wellness Source of Omaha LLC | Chiropractor | 5501 S 208th Cir, Elkhorn, NE 68022-3138 | 2020-08-03 |
| 1073139838 | Honest Chiropractic LLC | Chiropractor | 16918 Morgan Ave Ste 6, Gretna, NE 68028-4089 | 2020-06-17 |
| 1871118489 | Makenna Rommelfanger | Chiropractor | 16918 Morgan Ave, Gretna, NE 68028-4088 | 2020-06-09 |
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1124642863 | The Body Lab, LLC | Chiropractor | 1415 Dahlberg Dr Ste A, Lincoln, NE 68512-9266 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.