Organization Active NPI

Thome & Young DDS PLLC II

Doing business as Young and Polite Children's Dentistry Waxhaw

  • Pediatric Dentistry
  • Waxhaw, NC
National Provider Identifier
1225710445
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
THOME & YOUNG DDS PLLC II
Doing business as
Young and Polite Children's Dentistry Waxhaw
Practice address
2514 Cuthbertson Rd
Waxhaw, NC 28173-6416
Phone
(704) 587-7336
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

2514 Cuthbertson Rd
Waxhaw, NC 28173-6416

Mailing address

2514 Cuthbertson Rd
Waxhaw, NC 28173-6416
Phone (704) 587-7336

Other names 1

  • Young and Polite Children's Dentistry Waxhaw Doing business as

National Provider Directory

National Provider Directory

Locations

2514 Cuthbertson Rd
Waxhaw, NC 28173
Phone (704) 587-7336

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1225710445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 CUTHBERTSON RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736416",
            "telephone_number": "704-587-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 CUTHBERTSON RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736416",
            "telephone_number": "704-587-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOME & YOUNG DDS PLLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young and Polite Children's Dentistry Waxhaw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.