Daniel Young, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

1001778-15 Issued in WI

Practice address

2700 National Dr Ste 102
Onalaska, WI 54650-6709

Phone

(608) 783-3636

Fax

(608) 783-3639

NPI assigned

Aug 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Endodontic Specialists of Lacrosse LTD

  • Endodontics
  • Onalaska, WI
  • NPI 1972504843
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1083870232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NATIONAL DR STE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506709",
            "telephone_number": "608-783-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NATIONAL DR STE 102",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506709",
            "telephone_number": "608-783-3636",
            "fax_number": "608-783-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "1001778-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51557703",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jean Wuensch, DNP FNP-C
• Krista Wurzel, LCSW
• Yeng Xiong
• Yongxue David Yao, MD
• Carol L. Young, M.D.
• Jay Zabel
• Sadie Jane Zebell, PT ATC
• Erica Annabelle Zell, DO
• Tyler Zenz
• Hala Zoma, DDS

• Endodontics in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.