Active NPI
Lauren Michelle Young, DDS
- General Practice Dentistry
- Norwalk, CA
National Provider Identifier
1467768416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59515
- Practice address
- 14119 Pioneer Blvd
Norwalk, CA 90650-3925 - Phone
- (562) 929-2383
- Fax
- (562) 484-9025
- NPI assigned
- Aug 27, 2010
- 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 | 59515 | CA | Primary |
Addresses
Primary practice location
14119 Pioneer Blvd
Norwalk, CA 90650-3925
Mailing address
5250 Los Bonitos Way
Los Angeles, CA 90027-1008
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 |
|---|---|---|---|
| 59515 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Jacks DDS Inc | Past | Accepting new patients | |
| Western Dental Service, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Norwalk, CA
- NPI 1417473984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1467768416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 LOS BONITOS WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900271008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14119 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503925",
"telephone_number": "562-929-2383",
"fax_number": "562-484-9025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.