Craig a. Young, DMD PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7399 Issued in AZ

Legal business name

CRAIG A. YOUNG, DMD PLLC

Practice address

2820 N Glassford Hill Rd Ste 102
Prescott Valley, AZ 86314-2256

Phone

(928) 775-8448

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Craig A Young, DMD

Title

Orthodontist

Phone

(928) 775-8448

Specialties & licenses 1

Addresses

Other names 1

• emBraced Orthodontics Other name

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1164680245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD STE 102",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142256",
            "telephone_number": "928-775-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N GLASSFORD HILL RD STE 102",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142256",
            "telephone_number": "928-775-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A. YOUNG, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "928-775-8448",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "7399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "emBraced Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in Prescott Valley, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.