Organization Active NPI

Kristen Young DDS, Ms, Inc.

  • Periodontics
  • Roseville, CA
National Provider Identifier
1043137623
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
KRISTEN YOUNG DDS, MS, INC.
Practice address
1623 Santa Clara Dr Ste 100
Roseville, CA 95661-3589
Phone
(650) 455-7912
NPI assigned
Jul 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Dr. Kristen Hsi Young, DDSNPI 1295663417
Title
Periodontist
Phone
(650) 455-7912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1623 Santa Clara Dr Ste 100
Roseville, CA 95661-3589

Mailing address

525 Nelson Rising LN Apt 614
San Francisco, CA 94158-2296
Phone (650) 455-7912

National Provider Directory

National Provider Directory

Locations

1623 Santa Clara Dr
Ste 100
Roseville, CA 95661
Phone (424) 413-1939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1043137623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NELSON RISING LN APT 614",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582296",
            "telephone_number": "650-455-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 SANTA CLARA DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613589",
            "telephone_number": "650-455-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN YOUNG DDS, MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "HSI",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "650-455-7912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.