Young Smiles Pediatric Dentistry & Spa P.a

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YOUNG SMILES PEDIATRIC DENTISTRY & SPA P.A

Practice address

13131 Kings Lake Dr
Suite # 104
Gibsonton, FL 33534-3959

Phone

(813) 829-9075

Fax

(813) 236-9006

NPI assigned

Nov 13, 2013

Last updated

Nov 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kera Young, DDSNPI 1467484097

Title

Pedodontist

Phone

(813) 829-9075

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kera Young, DDS

  • Pediatric Dentistry
  • Gibsonton, FL
  • NPI 1467484097
  NPD Authorized official

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1225468242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335470486",
            "telephone_number": "813-829-9075",
            "fax_number": "813-236-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 KINGS LAKE DR",
            "address_2": "SUITE # 104",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343959",
            "telephone_number": "813-829-9075",
            "fax_number": "813-236-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG SMILES PEDIATRIC DENTISTRY & SPA P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KERA",
        "authorized_official_title_or_position": "PEDODONTIST",
        "authorized_official_telephone_number": "813-829-9075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070219600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa E Williams
• Danielle Winston, APRN
• Womens Care Florida LLP
• Brenda L Worzel, LMT
• Zaire Alexandria Yancy, CRNA
• Kera Young, DDS
• Karla Zacarkim Madison, RN, BSN, IBCLC
• Kelly Zapata
• Cinthia Amanda Zaragoza Pizarro, RCSWI

• Dentist in Gibsonton, FL
• Providers in Gibsonton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.