Individual provider Active NPI

Karen Joy Tritinger-Young, DMD

  • Dentist
  • Selah, WA
National Provider Identifier
1023157419
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60102410 Issued in WA
Practice address
202 W Naches Ave
Selah, WA 98942-1326
Phone
(509) 698-6684
NPI assigned
Feb 5, 2007
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60102410 WA Primary
General Practice Dentistry 1223G0001X 0401411204 VA

Addresses

Primary practice location

202 W Naches Ave
Selah, WA 98942-1326

Mailing address

202 W Naches Ave
Selah, WA 98942-1326
Phone (509) 698-6684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60102410WAMDDentist
0401411204VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1023157419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W NACHES AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421326",
            "telephone_number": "509-698-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W NACHES AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421326",
            "telephone_number": "509-698-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITINGER-YOUNG",
        "first_name": "KAREN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60102410",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.