Alexander Deyoung, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DS039822 Issued in PA

Practice address

530 Helmbold Ave
Cabot, PA 16023-9748

Phone

(724) 822-8938

NPI assigned

May 24, 2013

Last updated

Jun 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 4, 2023 through Jan 4, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Deyoung Dentistry, LLC

  • Dental Clinic/Center
  • Anchorage, AK
  • NPI 1962011593
  NPD Authorized official
• Mabry and Mabry Dentistry, LLC

  • Dental Clinic/Center
  • Anchorage, AK
  • NPI 1154672558
  NPD (past)

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1487091815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HELMBOLD AVE",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160239748",
            "telephone_number": "724-822-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HELMBOLD AVE",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160239748",
            "telephone_number": "724-822-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concordia Physician Practice
• Concordia Telecaregivers Dba Concordia Private Care
• Concordia Visiting Nurses
• Craig Taylor, MD PC
• Cara Degrano, OTD, OTR/L
• Fred K Fioravanti, MD
• Carolyn N Gordon, PTA
• Sarah Greene Mikoloski, MS
• Kristen Mari Haugh, LPC
• Madison Holben

• Dentist in Cabot, PA
• Providers in Cabot, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.