Kathryn Chaffee Young, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12013846A Issued in IN

Practice address

2525 Sandcrest Blvd
Columbus, IN 47203-3048

Phone

(812) 372-6165

Fax

(812) 372-3065

NPI assigned

Aug 4, 2022

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

Other names 1

• Kathryn Rene Chaffee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sandcrest Dental Health Associates, P.C.

  • General Practice Dentistry
  • Columbus, IN
  • NPI 1801909965
  NPD (past)
• Sandcrest Dental Health LLC

  • General Practice Dentistry
  • Columbus, IN
  • NPI 1083037782
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1649907130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "812-372-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "812-372-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHRYN",
        "middle_name": "CHAFFEE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013846A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CHAFFEE",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yuko Yamato, PSYD
• Kelly Amanda Yancer, BS HAD
• Rylee Yauger, RBT
• Bradley Thomas York, FNP-C
• Jarrett York
• Paulette Young, LCSW
• Your on Site Interpreter (Yosi) LLC
• Bradley John Ypma, PHARMD
• Jacqueline Deniese Zdanavicius, MA, BCBA
• Dekui Zhang, M.D.

• Dentist in Columbus, IN
• Providers in Columbus, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.