Active NPI
Steven H. Young, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Johnston, RI
National Provider Identifier
1578538088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2858
- Practice address
- 1414 Atwood Ave
Suite 340
Johnston, RI 02919-4839 - Phone
- (401) 273-7802
- Fax
- (401) 272-9642
- NPI assigned
- Feb 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9148 | CT | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2858 | RI | Primary |
Addresses
Primary practice location
1414 Atwood Ave
Suite 340
Johnston, RI 02919-4839
Mailing address
1414 Atwood Ave
Suite 340
Johnston, RI 02919-4839
Phone (401) 273-7802
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2858 | RI | MD | Oral and Maxillofacial Surgery (Dentist) |
| 9148 | CT | MD | Family Nurse Practitioner |
Interoperability endpoints
- steven.young.p1@direct.bvchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1578538088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 ATWOOD AVE",
"address_2": "SUITE 340",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029194839",
"telephone_number": "401-273-7802",
"fax_number": "401-272-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 ATWOOD AVE",
"address_2": "SUITE 340",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029194839",
"telephone_number": "401-273-7802",
"fax_number": "401-272-9642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STEVEN",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-18",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "9148",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "RI",
"license": "2858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.