NPIMap

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
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

3111 S Texas Ave
Bryan, TX 77802
Phone (979) 446-0270

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

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

825 W Yellowjacket Ln
Rockwall, TX 75087
Phone (972) 772-6166

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

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.