Jamil Brian Young, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13602 Issued in NC

Practice address

10677 US 15 501 Hwy Ste 100
Southern Pines, NC 28387-5154

Phone

(910) 295-5980

Fax

(910) 295-3593

NPI assigned

Feb 14, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Lane and Associates XXX, DDS PA

  • General Practice Dentistry
  • Southern Pines, NC
  • NPI 1376995274
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1124725635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 GARDEN DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756036871",
            "telephone_number": "903-931-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10677 US 15 501 HWY STE 100",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875154",
            "telephone_number": "910-295-5980",
            "fax_number": "910-295-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "903-931-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMIL",
        "middle_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latika Marie Worthon
• Shelwilbed O. Wray, NCC, CAS, LCMHC-S
• Wright and Associates X DDS PA
• Rose Ann Yarborough, M.A.
• Angela Lynn Yatkowski, PTA
• Amanda Marie Younggreen, COTA
• Zeh Chiropractic Center PA
• Todd J Zeh, DC
• Kendall Reid Zmiewsky, MD
• Patricia Ann Zoellner, OTRL

• General Practice Dentistry in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.