Active NPI
Winnie L Young
- General Practice Dentistry
- Bakersfield, CA
National Provider Identifier
1467582759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43577
- Practice address
- 2631 Fashion PL Ste a
Bakersfield, CA 93306-3068 - Phone
- (661) 871-2223
- Fax
- (661) 871-0764
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43577 | CA | Primary |
Addresses
Primary practice location
2631 Fashion PL Ste a
Bakersfield, CA 93306-3068
Mailing address
6700 Auburn St Apt 93
Bakersfield, CA 93306-2849
Phone (661) 873-9382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D43577 | Other | CA | DENTI-CAL PROVIDER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43577 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467582759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 AUBURN ST APT 93",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933062849",
"telephone_number": "661-873-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 FASHION PL STE A",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933063068",
"telephone_number": "661-871-2223",
"fax_number": "661-871-0764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WINNIE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER NUMBER",
"identifier": "D43577",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.