Active NPI
Denise Anne Young, DDS
- Periodontics
- Orlando, FL
National Provider Identifier
1225052020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN14692
- Practice address
- 544 N Semoran Blvd
Orlando, FL 32807-3326 - Phone
- (954) 517-1721
- Fax
- (954) 436-3628
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14692 | FL | |
| Periodontics | 1223P0300X | DN14692 | FL | Primary |
Addresses
Primary practice location
544 N Semoran Blvd
Orlando, FL 32807-3326
Mailing address
544 N Semoran Blvd
Orlando, FL 32807-3326
Phone (954) 517-1721
Other names 1
- Dr. Denise Anne Young
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14692 | FL | MD | Periodontist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1225052020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 N SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073326",
"telephone_number": "954-517-1721",
"fax_number": "954-436-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 N SEMORAN BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073326",
"telephone_number": "954-517-1721",
"fax_number": "954-436-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DENISE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14692",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN14692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "YOUNG",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.