Organization Active NPI

Young & Young Dental

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1487816930
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6037 Issued in KY
Legal business name
YOUNG & YOUNG DENTAL
Practice address
4906 Bardstown Rd
Suite 106
Louisville, KY 40291-1759
Phone
(502) 499-9770
Fax
(502) 499-9796
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Robert A Young Jr, D.M.D.NPI 1295898609
Title
Dentist
Phone
(502) 499-9770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6037 KY Primary

Addresses

Primary practice location

4906 Bardstown Rd
Suite 106
Louisville, KY 40291-1759

Mailing address

4906 Bardstown Rd
Suite 106
Louisville, KY 40291-1759
Phone (502) 499-9770

Other identifiers 1

IdentifierTypeStateIssuer
60060373MedicaidKY

National Provider Directory

National Provider Directory

Locations

4906 Bardstown Rd
Ste 106
Louisville, KY 40291
Phone (502) 499-9770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1487816930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 BARDSTOWN RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911759",
            "telephone_number": "502-499-9770",
            "fax_number": "502-499-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 BARDSTOWN RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911759",
            "telephone_number": "502-499-9770",
            "fax_number": "502-499-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG & YOUNG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "502-499-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60060373",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.