Active NPI
Dennis Younker, MD
- Family Medicine Physician
- Joplin, MO
National Provider Identifier
1043247018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R8F43
- Practice address
- 702 E 34TH St Ste 202
Joplin, MO 64804-3921 - Phone
- (417) 347-2535
- Fax
- (417) 347-2553
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R8F43 | MO | Primary |
Addresses
Primary practice location
702 E 34TH St Ste 202
Joplin, MO 64804-3921
Mailing address
PO Box 3810
Joplin, MO 64803
Phone (417) 347-2535
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080069917 | Other | RR MEDICARE | |
| 8936 | Other | MO | ANTHEM |
| 202614012 | Medicaid | MO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8F43 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1043247018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64803",
"telephone_number": "417-347-2535",
"fax_number": "417-347-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 E 34TH ST STE 202",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043921",
"telephone_number": "417-347-2535",
"fax_number": "417-347-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNKER",
"first_name": "DENNIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R8F43",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080069917",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "8936",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202614012",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.