Active NPI
Summer Marie Young, D.M.D.
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1174810725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19425
- Practice address
- 3500 E Fletcher Ave
Suite 221
Tampa, FL 33613-4708 - Phone
- (813) 972-3500
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19425 | FL | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave
Suite 221
Tampa, FL 33613-4708
Mailing address
3500 E Fletcher Ave
Suite 221
Tampa, FL 33613-4708
Phone (813) 972-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19425 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1174810725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE",
"address_2": "SUITE 221",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134708",
"telephone_number": "813-972-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE",
"address_2": "SUITE 221",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134708",
"telephone_number": "813-972-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SUMMER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "19425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.