Individual provider Active NPI

Alexandra Mayes Young, DMD

  • Pediatric Dentistry
  • Florence, KY
National Provider Identifier
1023249141
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8740 Issued in KY
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

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100098140MedicaidKY

Other names 1

  • Dr. Alexandra Cheuvront Mayes Former name

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
8740KYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Mayes Young DMD PLLC Pediatric Dentistry CurrentSince Feb 13, 2022 Accepting new patients
Young Smiles Pediatric Dentistry- Southgate PLLC Pediatric Dentistry CurrentSince Feb 13, 2022 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.

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.

Verify at the official NPI Registry.