Colin Young, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101926 Issued in CA

Practice address

3200 Fulton St
San Francisco, CA 94118-3713

Phone

(415) 367-3444

NPI assigned

May 11, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colin Young DMD Inc

  • Dental Clinic/Center
  • Livermore, CA
  • NPI 1871185975
  NPD Authorized official
• Enchanting LLC

  • Dental Clinic/Center
  • N Las Vegas, NV
  • NPI 1306002720
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1083092001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 31ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213526",
            "telephone_number": "702-715-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183713",
            "telephone_number": "415-367-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3028 W Jack London Blvd",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945517609",
            "country_code": "US",
            "telephone_number": "925-905-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "COLIN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6608",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Young
• Cassia Young
• Charlotte Young, MS, LCGC
• Christina Mei-Hua Young, PH.D.
• Clinton W Young, M.D.
• Daniell Young
• David M. Young, MD
• Dexter Tan Young, MFT
• Dmitri Aaron Young, PH.D.
• Douglas A Young, DDS

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.