Organization Active NPI

Vincent Young, M.D., P.a.

  • Specialist
  • Dallas, TX
National Provider Identifier
1235166125
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VINCENT YOUNG, M.D., P.A.
Practice address
12201 Merit Drive #420
Dallas, TX 75251
Phone
(972) 726-9600
Fax
(972) 702-8894
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vincent Young, M.D.NPI 1689658676
Title
Owner
Phone
(972) 726-9600

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12201 Merit Drive #420
Dallas, TX 75251

Mailing address

12201 Merit Drive #420
Dallas, TX 75251
Phone (972) 726-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091009000273 TX Part B Supplier - Clinic/Group Practice 0840336590 Receives reassigned benefits from 2 practitioners
Practice locations: Plainview, TX; Richardson, TX; San Antonio, TX; Sherman, TX; Forney, TX; Texarkana, TX; Tyler, TX; Waco, TX…

National Provider Directory

National Provider Directory

Locations

4754 S 14th St
Abilene, TX 79605
Phone (325) 480-1524

12200 Park Central Dr
Ste 250
Dallas, TX 75251
Phone (972) 702-9400

432 S Bibb Ave
Ste 300
Eagle Pass, TX 78852
Phone (409) 203-9562

215 S FM 548
Ste B
Forney, TX 75126
Phone (972) 564-2222

4100 International Plz
Fort Worth, TX 76109

2200 S W S Young Dr
Killeen, TX 76543
Phone (254) 382-8768

2539 Judson Rd
Longview, TX 75605
Phone (903) 331-0359

4410 N Midkiff Rd
Ste D1
Midland, TX 79705
Phone (419) 819-8189

610 N Coit Rd
Richardson, TX 75080
Phone (972) 331-9500

3850 S New Braunfels Ave
San Antonio, TX 78223
Phone (210) 485-1859

2916 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0349

2400 Richmond Rd
Ste 133
Texarkana, TX 75503
Phone (903) 201-3006

1932 E Southeast Loop 323
Tyler, TX 75701
Phone (430) 205-8686

1601 Walton Dr
Waco, TX 76705
Phone (254) 730-4296

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235166125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DRIVE #420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "972-726-9600",
            "fax_number": "972-702-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DRIVE #420",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "972-726-9600",
            "fax_number": "972-702-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT YOUNG, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-726-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.