NPIMap

Organization Active NPI

Stephen S. Young, D.D.S., P.C.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1053372151
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401006922 Issued in VA
Legal business name
STEPHEN S. YOUNG, D.D.S., P.C.
Practice address
1107 Westbriar Dr
Richmond, VA 23238-5013
Phone
(804) 741-2812
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Stephen Scott Young, D.D.S.NPI 1497061212
Title
President/Dentist/Owner
Phone
(804) 741-2812

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401006922 VA Primary

Addresses

Primary practice location

1107 Westbriar Dr
Richmond, VA 23238-5013

Mailing address

1107 Westbriar Dr
Richmond, VA 23238-5013
Phone (804) 741-2812

Other identifiers 2

IdentifierTypeStateIssuer
ANTEHMOtherVAANTHEM DENTAL INSURANCE
9178595MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1053372151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 WESTBRIAR DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385013",
            "telephone_number": "804-741-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 WESTBRIAR DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385013",
            "telephone_number": "804-741-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN S. YOUNG, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST/OWNER",
        "authorized_official_telephone_number": "804-741-2812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM DENTAL INSURANCE",
            "identifier": "ANTEHM",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178595",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.