Active NPI
Alexandra Mayes Young, DMD
- Pediatric Dentistry
- Florence, KY
National Provider Identifier
1023249141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8740
- Practice address
- 7400 US 42
Florence, KY 41042-1906 - Phone
- (859) 525-2100
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8740 | KY | Primary |
Addresses
Primary practice location
7400 US 42
Florence, KY 41042-1906
Mailing address
7400 US 42
Florence, KY 41042-1906
Phone (859) 525-2100
Other practice location 1
525 Alexandria Pike Ste 330
Southgate, KY 41071-3243
Phone (859) 781-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100098140 | Medicaid | KY |
Other names 1
- Dr. Alexandra Cheuvront Mayes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8740 | KY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex Mayes Young DMD PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Young Smiles Pediatric Dentistry- Southgate PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
7400 US Highway 42
Florence, KY 41042
Phone (859) 525-2100
525 Alexandria Pike
Ste 330
Southgate, KY 41071
Phone (859) 341-3015
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Florence, KY
- NPI 1033775374
-
- Pediatric Dentistry
- Southgate, KY
- NPI 1467223651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1023249141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 US 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421906",
"telephone_number": "859-525-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 US 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421906",
"telephone_number": "859-525-2100"
}
],
"practiceLocations": [
{
"address_1": "525 Alexandria Pike Ste 330",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "KY",
"postal_code": "410713243",
"country_code": "US",
"telephone_number": "859-781-4100",
"fax_number": "859-781-0170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "ALEXANDRA",
"middle_name": "MAYES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "KY",
"license": "8740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100098140",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRA",
"last_name": "MAYES",
"middle_name": "CHEUVRONT",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.