Tyler Jacob Young, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS107173 Issued in CA

Practice address

1288 Scott Blvd
Santa Clara, CA 95050-4517

Phone

(408) 984-2050

NPI assigned

Jan 14, 2022

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

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.

• Danielle Wehle DDS, Inc

  • Dental Clinic/Center
  • Santa Clara, CA
  • NPI 1952892176
  NPD (past)
• Douglas W. Vierra, D.D.S., Inc.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1689960809
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1649921206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N ALMADEN AVE APT 511",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102781",
            "telephone_number": "510-910-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504517",
            "telephone_number": "408-984-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Willow St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255115",
            "country_code": "US",
            "telephone_number": "408-264-8780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205 San Felipe Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951351546",
            "country_code": "US",
            "telephone_number": "408-270-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TYLER",
        "middle_name": "JACOB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisangela Aparecida Young
• Jason Cooper Young, PT
• Jennifer Hui Young, DC
• Kendra Young
• Michelle L. Young, MD
• Sohail Yousufi, M.D.
• Jennifer Yu, PHARM.D.
• Pauline Chang Yu, M.D.
• Nicole Yuan
• Jason Yudiono, PHARM.D.

• General Practice Dentistry in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• General Practice Dentistry in California

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