Derrick R Young, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12011014A Issued in IN

Practice address

5108 Bellemeade Ave
Evansville, IN 47715-4134

Phone

(812) 477-9294

Fax

(812) 402-1889

NPI assigned

Dec 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Young Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evansville, IN
  • NPI 1558893768
  NPD (past) Authorized official
• Kizior & Young Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jasper, IN
  • NPI 1184953325
  NPD (past)
• Michael J Silverman DDS MSD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evansville, IN
  • NPI 1912020819
  NPD (past)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1437488665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154134",
            "telephone_number": "812-477-9294",
            "fax_number": "812-402-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154134",
            "telephone_number": "812-477-9294",
            "fax_number": "812-402-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DERRICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12011014A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Yoder, DO
• Rita I Yoon
• Young Men'S Christian Association of Southwestern Indiana, Inc.
• Young Orthodontics PC
• Beth A Young, MA, RD, CSSD, CD
• Janette Shellie Young
• Jolynn Marie Young
• Madison Young
• Rebecca E. Young, AU.D.
• Sarah A Young, OT

• Orthodontics and Dentofacial Orthopedics Dentistry in Evansville, IN
• Providers in Evansville, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.