DR. CHAD RICHARD YOUNG (NPI# 1912192691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912192691 |
| Entity Type | Individual |
| Full Name | DR. CHAD RICHARD YOUNG |
| Credential | D.C. |
| Practice Address |
2785 White Bear Ave N Ste 108 Maplewood MN 55109-1320 |
| Mailing Address |
964 121st Ln Nw Coon Rapids MN 55448-2139 |
| Practice Telephone | 6514150418 |
| Practice Fax Number | 6514150106 |
| Mailing Telephone | 7634394634 |
| Mailing Fax Number | 7634452121 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5013 | MN | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2321 7th Ave N, Anoka, MN 55303 | 7634394634 | 7634452121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763958 | Chad Matthew Young | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-11-07 |
| 1013148089 | Chad Michael Young | Developmental Therapist | 206 Bragg St, Warren, AR 71671-2500 | 2009-08-07 |
| 1770733099 | Chad Stephen Young | Optometrist | 5315 N Central Expy, Dallas, TX 75205-3319 | 2008-09-23 |
| 1417157413 | Chad Young | Specialist/Technologist | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2007-07-19 |
| 1003958331 | Chad Steven Young | Chiropractor | 1011 Paris Rd Ste 341, Mayfield, KY 42066-3306 | 2007-02-13 |
| 1184625147 | Chad Young | Physical Therapist | 4165 Quarles Ct, Harrisonburg, VA 22801-3576 | 2005-08-02 |
| Street Address |
2785 WHITE BEAR AVE N STE 108 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275192197 | Specific Health & Chiropractic Pllc | Chiropractor | 2785 White Bear Ave N Ste 108, Maplewood, MN 55109-1320 | 2019-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1972162550 | Jeffrey Andrew Mcdonald | Chiropractor | 2785 White Bear Ave N Ste 108a, Maplewood, MN 55109-1320 | 2019-06-07 |
| 1316410939 | Chee Laura Ly | Chiropractor | 1324 Pine Tree Dr, Maplewood, MN 55119-3163 | 2019-01-07 |
| 1992085690 | Jason Michael Schwietz | Chiropractor | 1900 County Road D E Ste 150, Maplewood, MN 55109-5009 | 2011-08-25 |
| 1326378902 | Michelle Marie Roseberry | Chiropractor | 2551 Bredell Ave, Maplewood, MO 63143-1807 | 2010-01-05 |
| 1942494976 | Gregory Foster Kleinschmidt | Chiropractor | 2716 Sutton Blvd, Maplewood, MO 63143-3036 | 2007-09-03 |
| 1750590774 | American Back Center | Chiropractor | 44 Schaeffer Rd, Maplewood, NJ 07040-3322 | 2007-05-22 |
| 1902019748 | Alana Lois Altnow | Chiropractor | 2225 White Bear Ave N, Maplewood, MN 55109-2700 | 2007-05-08 |
| 1396868378 | Donna L Sands | Chiropractor | 149 Oakview Ave, Maplewood, NJ 07040-2323 | 2007-04-06 |
| 1679698138 | Scott William Poeschel | Chiropractor | 2085 County Road D E, Suite A100, Maplewood, MN 55109-5363 | 2007-03-20 |
| 1659403475 | Erick C Swenson | Chiropractor | 2485 Maplewood Drive, Suite 215, Maplewood, MN 55109 | 2007-03-09 |
| Find all providers in MAPLEWOOD | ||||
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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.