Active NPI
Kevin Edward Young, DDS
- Dentist
- Lewis Center, OH
National Provider Identifier
1174640155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18422
- Practice address
- 9391 S Old State Rd
Lewis Center, OH 43035 - Phone
- (614) 888-3692
- Fax
- (614) 436-7898
- NPI assigned
- Mar 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18422 | OH | Primary |
Addresses
Primary practice location
9391 S Old State Rd
Lewis Center, OH 43035
Mailing address
9391 S Old State Rd
Lewis Center, OH 43035
Phone (614) 888-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170125001200 | OH | Order and Referring Only - Dentist | 8325320492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18422 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric P Buck DDS Lewis Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lewis Center, OH
- NPI 1073227385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174640155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9391 S OLD STATE RD",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "43035",
"telephone_number": "614-888-3692",
"fax_number": "614-436-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9391 S OLD STATE RD",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "43035",
"telephone_number": "614-888-3692",
"fax_number": "614-436-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KEVIN",
"middle_name": "EDWARD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "18422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.