Thomas E Young, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17834 Issued in TX

Practice address

807 S W S Young Dr
Killeen, TX 76543-4801

Phone

(254) 690-8200

Fax

(254) 690-1658

NPI assigned

Jan 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396898185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4663 LAGO VISTA DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765137284",
            "telephone_number": "254-698-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S W S YOUNG DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434801",
            "telephone_number": "254-690-8200",
            "fax_number": "254-690-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yellow Ribbon Counseling PLLC
• Yk Counseling and Consulting
• Young at Heart Counseling Services PLLC
• Cedric Lavar Young, RN
• Rocky Young, LPC
• Your New Beginning Counseling & Family Services, LLC
• Your Story PLLC
• Brittany Yuhas
• Hyon Chol Yun, D.C.
• Anya Zahler

• General Practice Dentistry in Killeen, TX
• Providers in Killeen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.