Dean I Youngberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15539 Issued in KS

Practice address

1035 N Emporia St
Suite 220
Wichita, KS 67214-2944

Phone

(316) 268-6075

Fax

(316) 291-7977

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peg Bicker MD, LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1952748774
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1295725489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-268-6075",
            "fax_number": "316-291-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 220",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-268-6075",
            "fax_number": "316-291-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBERG",
        "first_name": "DEAN",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "15539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092960A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Young, DC
• Perry Young, CPTA
• Rhonda L Young, ARNP
• Robert C Young, MD
• Teresa L Young, OT
• Ashton Ann Youngers, PA-C
• Mandi Youngers
• Darrell J Youngman, D.O.
• Kate Suzanne Youngs, D.C.
• Jennifer Lee Yount, LMSW

• Internal Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.