Blake A Younis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4222 Issued in WV

Practice address

111 Brooks St
Charleston, WV 25301-2904

Phone

(304) 344-0344

NPI assigned

Feb 29, 2016

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Valley Health Systems Inc

  dba Valley Health Highlawn

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1902962368
  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health Upper Kanawha

  • Federally Qualified Health Center (FQHC)
  • Cedar Grove, WV
  • NPI 1699740472

  Dentist

  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• Charleston Dental Associates

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1629499553
  NPD (past)
• Valley Health Systems Inc

  dba Grant Medical Center

  • Family Medicine Physician
  • Milton, WV
  • NPI 1891775557
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1578923967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257171680",
            "telephone_number": "304-781-5189",
            "fax_number": "304-523-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROOKS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012904",
            "telephone_number": "304-344-0344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Alexander St",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "WV",
            "postal_code": "25039",
            "country_code": "US",
            "telephone_number": "304-595-1770",
            "fax_number": "304-595-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNIS",
        "first_name": "BLAKE",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Young
• Sherri A. Young, DO
• Shirley Young
• Tina Marie Young
• Adrianna Youngs
• Ali Yousaf
• Mohammad Yousaf, PAC
• Muhammad Yousaf, MD
• Osman Khan Yousafzai, MD
• Ali Yousuf, MD

• Dentist in Charleston, WV
• Providers in Charleston, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.