NPIMap

Organization Active NPI

Stanley a. Young D.D.S. P.C.

  • Dental Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1467661041
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12007190 Issued in IN
Legal business name
STANLEY A. YOUNG D.D.S. P.C.
Practice address
6038 E State Blvd
Fort Wayne, IN 46815-7639
Phone
(260) 493-3526
Fax
(260) 749-8033
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Stanley A Young, D.D.S.
Title
President
Phone
(260) 493-3526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12007190 IN Primary

Addresses

Primary practice location

6038 E State Blvd
Fort Wayne, IN 46815-7639

Mailing address

6038 E State Blvd
Fort Wayne, IN 46815-7639
Phone (260) 493-3526

National Provider Directory

National Provider Directory

Locations

6038 E State Blvd
Fort Wayne, IN 46815
Phone (260) 493-3526

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1467661041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6038 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157639",
            "telephone_number": "260-493-3526",
            "fax_number": "260-749-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6038 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157639",
            "telephone_number": "260-493-3526",
            "fax_number": "260-749-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY A. YOUNG D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-493-3526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12007190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.