Cynthia Young D.D.S., Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

License

63578 Issued in CA

Legal business name

CYNTHIA YOUNG D.D.S., DENTAL CORP.

Practice address

1400 Santa Rita Rd
Ste a
Pleasanton, CA 94566-5666

Phone

(925) 398-3236

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Young, D.D.S.NPI 1598171167

Title

President

Phone

(916) 934-4712

Specialties & licenses 2

Addresses

Other names 1

• SUSTAINABLE SMILES Doing business as

Locations

Practitioners 1

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

• Cynthia Young, D.D.S.

  • General Practice Dentistry
  • Pleasanton, CA
  • NPI 1598171167

  Dentist

  NPD (past) Authorized official

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1356715320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD",
            "address_2": "STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665666",
            "telephone_number": "925-398-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD",
            "address_2": "STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665666",
            "telephone_number": "925-398-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA YOUNG D.D.S., DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-934-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63578",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSTAINABLE SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Cruz, OTR/L, MBA, CAE
• Courtney Lynn Cunningham
• Taylie Cunningham
• Curacion Therapy Services Inc
• Heather Lynne Cusumano, B.S.
• Paul Alan Dahmen, OTR/L
• Roger D. Dainer, D.O.
• Jocelyn Ortico Dajon
• Alpa Arpan Dalal, DDS
• Amisha Dalal

• All providers in Pleasanton, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.