Active NPI
Christopher L. Young, D.D.S.
- Dentist
- Cuba, NY
National Provider Identifier
1356346282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 034838
- Practice address
- 140 W Main St
Cuba, NY 14727-1317 - Phone
- (585) 968-2000
- Fax
- (585) 968-3898
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 034838 | NY | Primary |
Addresses
Primary practice location
140 W Main St
Cuba, NY 14727-1317
Mailing address
140 W Main St
Cuba, NY 14727-1317
Phone (585) 968-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01370869 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150304001182 | NY | Order and Referring Only - Dentist | 6507182805 | |
| I20180427001136 | PA | Order and Referring Only - Dentist | 6507182805 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034838 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1356346282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W MAIN ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271317",
"telephone_number": "585-968-2000",
"fax_number": "585-968-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W MAIN ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271317",
"telephone_number": "585-968-2000",
"fax_number": "585-968-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHRISTOPHER",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "034838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01370869",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.