Young Sil Jo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32061 Issued in TX

Practice address

3300 N McColl Rd Ste M
McAllen, TX 78501

Phone

(956) 843-0177

Fax

(956) 843-0179

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Dental Park of McAllen2, PLLC

  • General Practice Dentistry
  • McAllen, TX
  • NPI 1346757713
  NPD (past) Authorized official

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1457767618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 LOS INDIOS PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727584",
            "telephone_number": "718-309-1121",
            "fax_number": "956-843-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N MCCOLL RD STE M",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78501",
            "telephone_number": "956-843-0177",
            "fax_number": "956-843-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 E Algonquin Rd",
            "address_2": "610",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734144",
            "country_code": "US",
            "telephone_number": "847-701-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JO",
        "first_name": "YOUNG SIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4142",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zanictee Jimenez
• JKK Associates PLLC
• JL Cazares DDS PA
• JN New Life Care Services Corp.
• JNR Pharmacy Inc
• John a Gerling, DDS,MSD,PA
• John G Orfanos MD PA
• John Robert Guerra DO PA
• Aaliah Inez Johnson
• Alex R Johnson, PHARM D

• General Practice Dentistry in McAllen, TX
• Providers in McAllen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.