NPIMap

Organization Active NPI

Young General Dental Practice, PC

  • Dentist
  • Des Moines, IA
National Provider Identifier
1437288693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6467 Issued in IA
Legal business name
YOUNG GENERAL DENTAL PRACTICE, PC
Practice address
4919 Douglas Ave
Suite 10
Des Moines, IA 50310-2775
Phone
(515) 278-2010
Fax
(515) 278-1944
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip Young, DDSNPI 1679602825
Title
President
Phone
(515) 278-2010

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6467 IA Primary

Addresses

Primary practice location

4919 Douglas Ave
Suite 10
Des Moines, IA 50310-2775

Mailing address

4919 Douglas Ave
Suite 10
Des Moines, IA 50310-2775
Phone (515) 278-2010

National Provider Directory

National Provider Directory

Locations

4919 Douglas Ave
Ste 10
Des Moines, IA 50310
Phone (515) 278-2010

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437288693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 DOUGLAS AVE",
            "address_2": "SUITE 10",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102775",
            "telephone_number": "515-278-2010",
            "fax_number": "515-278-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 DOUGLAS AVE",
            "address_2": "SUITE 10",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503102775",
            "telephone_number": "515-278-2010",
            "fax_number": "515-278-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG GENERAL DENTAL PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-278-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "6467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.