Active NPI
Andrew Sing Young, DDS
- Dental Anesthesiology
- Playa del Rey, CA
National Provider Identifier
1417359191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 64084
- Practice address
- 8055 W Manchester Ave Ste 204
Playa del Rey, CA 90293-7962 - Phone
- (650) 282-4171
- NPI assigned
- Sep 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040135 | PA | |
| Dental Anesthesiology | 1223D0004X | 64084 | CA | Primary |
Addresses
Primary practice location
8055 W Manchester Ave Ste 204
Playa del Rey, CA 90293-7962
Mailing address
1649 S Lost Trail Dr
Walnut, CA 91789-1351
Phone (909) 538-9101
Other practice location 1
3501 Terrace Street
G84 Salk Hall
Pittsburgh, PA 15261
Phone (412) 648-8756
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040135 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1417359191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 S LOST TRAIL DR",
"city": "WALNUT",
"state": "CA",
"postal_code": "917891351",
"telephone_number": "909-538-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8055 W MANCHESTER AVE STE 204",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902937962",
"telephone_number": "650-282-4171"
}
],
"practiceLocations": [
{
"address_1": "3501 Terrace Street",
"address_2": "G84 Salk Hall",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15261",
"country_code": "US",
"telephone_number": "412-648-8756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "ANDREW",
"middle_name": "SING",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040135",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "64084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Playa del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.