Robert A Young Jr, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6037 Issued in KY

Practice address

4906 Bardstown Rd
Suite 106
Louisville, KY 40291-1759

Phone

(502) 499-9770

Fax

(502) 499-9796

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Young & Young Dental

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1487816930
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1295898609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 BARDSTOWN RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911759",
            "telephone_number": "502-499-9770",
            "fax_number": "502-499-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 BARDSTOWN RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911759",
            "telephone_number": "502-499-9770",
            "fax_number": "502-499-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG JR",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60060373",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "431515",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• You Only Live Once Medical
• Bradley Ben Youkilis, MD
• Young & Young Dental
• Young City Medical Care
• Young Community Medical Care PLLC
• Young-Rivers Associates, P.S.C.
• Adam Lee Young, OTR/L MS
• Bailey Walker Young, DO
• Barbara Jean Young
• Bonnie L Young, MA CCC-SLP

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.