Y-CHIROPRACTIC
NPI 1275711764
Clinic/Center in Plymouth, MN

Active since February 06, 2008
10700 HIGHWAY 55, SUITE 100, PLYMOUTH, MN 55441(763) 543-9080(763) 543-9082 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Y-chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

Y-CHIROPRACTIC (NPI 1275711764) is a healthcare organization registered as a clinic/center in Plymouth, Minnesota and active in the NPI registry since February 2008. The organization lists Paul Daeboo Moon, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1275711764
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameY-CHIROPRACTIC
Location Address10700 HIGHWAY 55, SUITE 100Plymouth, MN 55441-6100
Mailing Address10700 Highway 55, Suite 100Plymouth, MN 55441-6100 · (763) 543-9080 · Fax (763) 543-9082
Fax(763) 543-9082
Organization SubpartNo
Authorized OfficialPaul Daeboo MoonChiropractor/owner · (763) 543-9080
Enumeration DateFebruary 6, 2008
Last NPPES UpdateJuly 2, 2008
✔ NPI 1275711764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10700 HIGHWAY 55, Plymouth, MN 55441

Other Identifiers 1

Medicare PINC02723MN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Y-chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Y-Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1871663815
10700 HIGHWAY 55 STE 100
Plymouth, MN 55441
(763) 543-9080
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Y-Chiropractic's NPI number?

The NPI number for Y-Chiropractic is 1275711764. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Y-Chiropractic located?

Y-Chiropractic is located at 10700 Highway 55 Suite 100, Plymouth, MN 55441. The listed phone number is (763) 543-9080.

What is Y-Chiropractic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Y-Chiropractic enrolled in Medicare?

Yes. Y-Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Y-Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Y-Chiropractic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Y-Chiropractic was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.