Individual provider Active NPI

Kathryn A Young, LD

  • Denturist
  • Damariscotta, ME
National Provider Identifier
1669618195
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
5057 Issued in ME
Practice address
748 Main St
Damariscotta, ME 04543-4683
Phone
(207) 563-3368
Fax
(866) 336-7756
NPI assigned
Jan 6, 2009
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X 5057 ME Primary

Addresses

Primary practice location

748 Main St
Damariscotta, ME 04543-4683

Mailing address

40 Harrington Rd
Walpole, ME 04573-3208
Phone (207) 563-3368

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5057MEMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Denture Dynamics LLC Denturist CurrentSince Mar 11, 2025 Accepting new patients
Lincoln County Dental, Inc. Past Accepting new patients

Locations

40 Harrington Rd
Walpole, ME 04573
Phone (207) 563-3368

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1669618195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HARRINGTON RD",
            "city": "WALPOLE",
            "state": "ME",
            "postal_code": "045733208",
            "telephone_number": "207-563-3368",
            "fax_number": "866-336-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434683",
            "telephone_number": "207-563-3368",
            "fax_number": "866-336-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ME",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.