NPIMap

Organization Active NPI

Michelle Yip-Young Tolbert DDS PA

  • Dentist
  • La Plata, MD
National Provider Identifier
1134344229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12257 Issued in MD
Legal business name
MICHELLE YIP-YOUNG TOLBERT DDS PA
Practice address
6545 Crain Hwy
1
La Plata, MD 20646-4268
Phone
(301) 932-1105
Fax
(301) 609-4765
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle Yip Young Tolbert, DDS
Title
Owner
Phone
(301) 932-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12257 MD Primary

Addresses

Primary practice location

6545 Crain Hwy
1
La Plata, MD 20646-4268

Mailing address

PO Box 1688
La Plata, MD 20646-1688
Phone (301) 932-1105

National Provider Directory

National Provider Directory

Locations

6545 Crain Hwy
#1
La Plata, MD 20646
Phone (301) 932-1105

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134344229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1688",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206461688",
            "telephone_number": "301-932-1105",
            "fax_number": "301-609-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 CRAIN HWY",
            "address_2": "1",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464268",
            "telephone_number": "301-932-1105",
            "fax_number": "301-609-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE YIP-YOUNG TOLBERT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YIP YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-932-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.