Corey Andrew Young, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.020599 Issued in OH

Practice address

1245 St RT 598 Suite B
Galion, OH 44833-1611

Phone

(419) 468-2977

Fax

(419) 468-0037

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1184712366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 PARCHER RD",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448209570",
            "telephone_number": "419-562-5019",
            "fax_number": "419-468-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 ST RT 598 SUITE B",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448331611",
            "telephone_number": "419-468-2977",
            "fax_number": "419-468-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "COREY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.020599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2171340",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert R Wisner Jr., PA C
• Bailee Marie Wood, PHARMD, RPH
• Mark A Wood, DO
• James H Wurm, PT
• Mindy Dawn Yost, STNA
• Justine Danielle Yunker
• Rusty Zahn, PHARMD
• Olivia Marie Zender
• David N. Zeuch, O.D.

• Dentist in Galion, OH
• Providers in Galion, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.