Individual provider Active NPI

Dawnsherrie K Young

  • Prosthetic/Orthotic Supplier
  • Bowie, MD
National Provider Identifier
1407742638
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
VKVCDMNL5A Issued in MD
Practice address
15475 Annapolis Rd Ste 40
Bowie, MD 20715-3049
Phone
(240) 530-0095
NPI assigned
Jun 16, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X VKVCDMNL5A MD Primary
Prosthetist 224P00000X VKVCDMNL5A MD
Orthotic Fitter 225000000X VKVCDMNL5A MD

Addresses

Primary practice location

15475 Annapolis Rd Ste 40
Bowie, MD 20715-3049

Mailing address

9113 Eldon Dr
Clinton, MD 20735-2941
Phone (240) 530-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VKVCDMNL5AMDMDOrthotic Fitter

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1407742638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 ELDON DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352941",
            "telephone_number": "240-530-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15475 ANNAPOLIS RD STE 40",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153049",
            "telephone_number": "240-530-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DAWNSHERRIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": "VKVCDMNL5A",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MD",
            "license": "VKVCDMNL5A",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "MD",
            "license": "VKVCDMNL5A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.