Organization Active NPI

Young an Church

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1639335672
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YOUNG AN CHURCH
Practice address
11445 Emerald St
Dallas, TX 75229
Phone
(214) 417-9269
Fax
(972) 243-6260
NPI assigned
Jul 30, 2008
Organization subpart
Yes
Parent organization
YOUNG AN CHURCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mr. Sung Ho Shon
Title
Owner
Phone
(214) 417-9269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11445 Emerald St
Dallas, TX 75229

Mailing address

11445 Emerald St
Dallas, TX 75229
Phone (214) 417-9269

Other names 1

  • S N S Doing business as

National Provider Directory

National Provider Directory
Part of
Young an Church

Locations

11445 Emerald St
Dallas, TX 75229
Phone (214) 417-9269

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1639335672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 EMERALD ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-417-9269",
            "fax_number": "972-243-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11445 EMERALD ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-417-9269",
            "fax_number": "972-243-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG AN CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNG AN CHURCH",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHON",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-417-9269",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S N S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.