Active NPI
Timothy Gates Young, D.D.S.
- Dentist
- Celina, OH
National Provider Identifier
1477757276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-015811
- Practice address
- 136 N Enterprise St
Celina, OH 45822-1806 - Phone
- (419) 586-1661
- Fax
- (419) 584-0424
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30-015811 | OH | Primary |
Addresses
Primary practice location
136 N Enterprise St
Celina, OH 45822-1806
Mailing address
136 N Enterprise St
Celina, OH 45822-1806
Phone (419) 586-1661
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 |
|---|---|---|---|
| 30-015811 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for You, Dr Laura Schleucher, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Celina, OH
- NPI 1235147315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477757276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 N ENTERPRISE ST",
"city": "CELINA",
"state": "OH",
"postal_code": "458221806",
"telephone_number": "419-586-1661",
"fax_number": "419-584-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N ENTERPRISE ST",
"city": "CELINA",
"state": "OH",
"postal_code": "458221806",
"telephone_number": "419-586-1661",
"fax_number": "419-584-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TIMOTHY",
"middle_name": "GATES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-015811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Celina, OH
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.