Arlene Teana Zakia Moore Younan, D.M.D

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

104884 Issued in CA

Practice address

3750 Rohnerville Road
Fortuna, CA 95540

Phone

(707) 617-2555

Fax

(707) 725-7843

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kia Moore Younan Other name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1003343708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST STE 203",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216249",
            "telephone_number": "707-826-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ROHNERVILLE ROAD",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "95540",
            "telephone_number": "707-617-2555",
            "fax_number": "707-725-7843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Miner Ave W",
            "address_purpose": "LOCATION",
            "city": "Ladysmith",
            "state": "WI",
            "postal_code": "548481725",
            "country_code": "US",
            "telephone_number": "715-532-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE YOUNAN",
        "first_name": "ARLENE",
        "middle_name": "TEANA ZAKIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "104884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIA",
            "last_name": "MOORE YOUNAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Missing Linx Interpreting LLC
• Kathi Lyn Mitchell, LVN
• John Mogel, M.D.
• Laura L Mojica, APRN, IBCLC, CPNP-PC
• Milevic Mojica, OTR/L
• George J Moore, LCSW
• Sara Moore, CNM
• Mark Mowrey, RN
• Caitlin Mullins, MD
• Angela Noelle Murray, PA

• Public Health Dentistry in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.