Active NPI
Gregg K Young, DPM
- Foot Surgery Podiatrist
- Salt Lake City, UT
National Provider Identifier
1154337046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 104906-0501
- Practice address
- Vamc 112
500 Foothill Ave
Salt Lake City, UT 84148-0001 - Phone
- (801) 582-1565
- Fax
- (801) 584-2587
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 104906-0501 | UT | |
| Foot Surgery Podiatrist | 213ES0131X | 104906-0501 | UT | Primary |
Addresses
Primary practice location
Vamc 112
500 Foothill Ave
Salt Lake City, UT 84148-0001
Mailing address
Vamc 112
500 Foothill Ave
Salt Lake City, UT 84148-0001
Phone (801) 582-1565
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104906-0501 | UT | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154337046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VAMC 112",
"address_2": "500 FOOTHILL AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565",
"fax_number": "801-584-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VAMC 112",
"address_2": "500 FOOTHILL AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565",
"fax_number": "801-584-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GREGG",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "UT",
"license": "104906-0501",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "UT",
"license": "104906-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.