Alan P Young, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7775 Issued in IA

Practice address

1404 3Rd St. SW
Waverly, IA 50677

Phone

(319) 352-6600

Fax

(319) 352-6605

NPI assigned

Jul 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Waverly Family Dentistry LLC

  • Dentist
  • Waverly, IA
  • NPI 1679730154
  NPD (past) Authorized official
• DRS. Tesene, Maurer and Maurer,DDS, PC

  • General Practice Dentistry
  • Garner, IA
  • NPI 1487687919
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1528083839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 3RD ST. SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-6600",
            "fax_number": "319-352-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 3RD ST. SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-6600",
            "fax_number": "319-352-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LISCENSE",
            "identifier": "7775",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woltz Physical Therapy PC
• Jon Woltz, PT
• Jordyn Woodley
• Alyssa Marie Woods, ARNP, FNP-C
• Penelope Yoosook, OTR/L
• Jalisa Young
• Jacey Zangerle
• Jane D Zehr, PA-C

• General Practice Dentistry in Waverly, IA
• Providers in Waverly, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.