Individual provider Active NPI

Yean Wu- Young, D.M.D

  • Endodontics
  • Quincy, MA
National Provider Identifier
1033297049
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19699 Issued in MA
Practice address
67 Coddington St
Suite 102
Quincy, MA 02169-4511
Phone
(617) 657-0800
Fax
(617) 657-5135
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 19699 MA Primary

Addresses

Primary practice location

67 Coddington St
Suite 102
Quincy, MA 02169-4511

Mailing address

67 Coddington St
Suite 102
Quincy, MA 02169-4511
Phone (617) 657-0800

Other identifiers 2

IdentifierTypeStateIssuer
1769827OtherPAUNITED CONCORDIA
X11980OtherMABLUE CROSS BLUE SHIELD MA

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
19699MAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Endodontics Inc. Endodontics Past Accepting new patients

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033297049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-657-0800",
            "fax_number": "617-657-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CODDINGTON ST",
            "address_2": "SUITE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694511",
            "telephone_number": "617-657-0800",
            "fax_number": "617-657-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU- YOUNG",
        "first_name": "YEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "19699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1769827",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "X11980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.