NPIMap

Organization Active NPI

Young Dentistry, PC

  • Dental Clinic/Center
  • Lowell, MA
National Provider Identifier
1679966352
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21292 Issued in MA
Legal business name
YOUNG DENTISTRY, PC
Practice address
674 Rogers St
Lowell, MA 01852-3836
Phone
(978) 459-0594
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Young K Son, DMDNPI 1922122720
Title
Owner
Phone
(857) 383-7988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21292 MA Primary

Addresses

Primary practice location

674 Rogers St
Lowell, MA 01852-3836

Mailing address

674 Rogers St
Lowell, MA 01852-3836

National Provider Directory

National Provider Directory

Locations

674 Rogers St
Lowell, MA 01852
Phone (978) 459-0594

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1679966352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 ROGERS ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018523836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 ROGERS ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018523836",
            "telephone_number": "978-459-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-383-7988",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "21292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.