Active NPI
Young Dental Corporation
- Dental Clinic/Center
- San Jose, CA
National Provider Identifier
1225524226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- YOUNG DENTAL CORPORATION
- Practice address
- 1705 Branham LN Ste B4
San Jose, CA 95118-5222 - Phone
- (408) 264-7630
- NPI assigned
- Jul 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew J Young
- Title
- President
- Phone
- (805) 270-9322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1705 Branham LN Ste B4
San Jose, CA 95118-5222
Mailing address
1705 Branham LN Ste B4
San Jose, CA 95118-5222
Phone (805) 270-9322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Nipomo, CA
- NPI 1548431117
-
- General Practice Dentistry
- Garden Grove, CA
- NPI 1699101295
-
- General Practice Dentistry
- San Jose, CA
- NPI 1639298425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594080000000",
"number": "1225524226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 BRANHAM LN STE B4",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951185222",
"telephone_number": "805-270-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 BRANHAM LN STE B4",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951185222",
"telephone_number": "408-264-7630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-03",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-270-9322"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.