NPIMap

Organization Active NPI

Dallin C. Young, D.D.D, P.a.

Doing business as Children's Dentistry of Twin Falls

  • Pediatric Dentistry
  • Twin Falls, ID
National Provider Identifier
1417119330
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D-3874-PD Issued in ID
Legal business name
DALLIN C. YOUNG, D.D.D, P.A.
Doing business as
Children's Dentistry of Twin Falls
Practice address
1186 Eastland Dr N
Suite B
Twin Falls, ID 83301-8973
Phone
(208) 733-9331
Fax
(208) 732-1222
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Dallin Clifford Young, D.D.S.NPI 1932193869
Title
President
Phone
(208) 733-9331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D-3874-PD ID Primary

Addresses

Primary practice location

1186 Eastland Dr N
Suite B
Twin Falls, ID 83301-8973

Mailing address

1186 Eastland Dr N
Suite B
Twin Falls, ID 83301-8973
Phone (208) 733-9331

Other identifiers 1

IdentifierTypeStateIssuer
807215900MedicaidID

Other names 1

  • Children's Dentistry of Twin Falls Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1417119330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 EASTLAND DR N",
            "address_2": "SUITE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018973",
            "telephone_number": "208-733-9331",
            "fax_number": "208-732-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 EASTLAND DR N",
            "address_2": "SUITE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018973",
            "telephone_number": "208-733-9331",
            "fax_number": "208-732-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLIN C. YOUNG, D.D.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DALLIN",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-733-9331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ID",
            "license": "D-3874-PD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807215900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry of Twin Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.