Individual provider Active NPI

Michael Darren Young

  • Hearing Instrument Specialist
  • Cedar Hill, TX
National Provider Identifier
1063085892
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
11942 Issued in TX
Practice address
130 W Belt Line Rd Ste 2
Cedar Hill, TX 75104-2090
Phone
(469) 454-4753
Fax
(806) 785-4327
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 11942 TX Primary

Addresses

Primary practice location

130 W Belt Line Rd Ste 2
Cedar Hill, TX 75104-2090

Mailing address

5303 50TH St
Lubbock, TX 79414-1817
Phone (806) 799-1484

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
11942TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Hearing Aid Center, Inc. Hearing Instrument Specialist CurrentSince Jul 25, 2021 Accepting new patients
Jack Jordan Jones Enterprises Hearing Instrument Specialist PastSince Jul 25, 2021 Accepting new patients

Locations

130 W Belt Line Rd
Ste 2
Cedar Hill, TX 75104
Phone (469) 454-4753

5303 50th St
Lubbock, TX 79414
Phone (806) 799-1484

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1063085892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141817",
            "telephone_number": "806-799-1484",
            "fax_number": "806-785-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W BELT LINE RD STE 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042090",
            "telephone_number": "469-454-4753",
            "fax_number": "806-785-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "DARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "11942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.