Young Family Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16111 Issued in MO

Legal business name

YOUNG FAMILY DENTISTRY, LLC

Practice address

2640 E 32ND St Ste 6
Joplin, MO 64804-4303

Phone

(417) 781-3440

Fax

(417) 708-0781

NPI assigned

Oct 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Lori YoungNPI 1417189200

Title

Owner

Phone

(417) 529-0688

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lori Young, PT

  • Physical Therapist
  • Joplin, MO
  • NPI 1417189200
  NPD (past) Authorized official
• Dan Kip Young, DMD

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1821184045
  NPD (past)

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1417467366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E 32ND ST STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044303",
            "telephone_number": "417-781-3440",
            "fax_number": "417-708-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E 32ND ST STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044303",
            "telephone_number": "417-781-3440",
            "fax_number": "417-708-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-529-0688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "16111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaycin Lirazan Yee, OTR
• Tori William Yoakum, PHARMD
• Todd Michael Yockey, P.T.
• Jacob Allen Yoder
• Yogi Hicks Hearing Aid Labs, LLC.
• Dan Kip Young, DMD
• Keila Betzaira Young, DNP, FNP-C
• Kelly Jane Young, CRADC
• Lori Young, PT
• Tiffany Leeanne Young, CFNP

• General Practice Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.