Joseph B Young DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D9430 Issued in OR

Legal business name

JOSEPH B YOUNG DMD PC

Practice address

15405 SW 116TH Ave Ste 208
Tigard, OR 97224-4101

Phone

(503) 684-0507

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Brian Young, DMD

Title

Dentist Owner

Phone

(503) 684-0507

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.

• John Roderick Chessar, DDS

  • Dentist
  • King City, OR
  • NPI 1487667986
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1295083509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 208",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244101",
            "telephone_number": "503-684-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 SW 116TH AVE STE 208",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244101",
            "telephone_number": "503-684-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B YOUNG DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "503-684-0507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D9430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534819",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regena B Jones
• Shannon P Jones
• Sonya M Jones, LPC
• Theo Willey Jones Sr.
• Colbie J Jorgensen, PT
• Joseph R. Hall, DC
• Joshua Pettigrew DC LLC
• Joyful Imperfection Counseling, LLC
• Judith E. Allan, DC, PC
• Judy Miller PSYD LLC

• Dental Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.