Individual provider Active NPI

Mon-Han Young, DMD

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1730258443
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4507 Issued in NV
Practice address
4555 S Fort Apache Rd
#136
Las Vegas, NV 89147-7968
Phone
(702) 388-8979
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4507 NV Primary

Addresses

Primary practice location

4555 S Fort Apache Rd
#136
Las Vegas, NV 89147-7968

Mailing address

10126 Silbury Hill CT
Las Vegas, NV 89148-4727
Phone (702) 252-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705001198 NV Order and Referring Only - DentistPractitioner - Dentist 1850683236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mon-Han Young, D.M.D., PC General Practice Current Accepting new patients

Locations

4555 S Fort Apache Rd
Ste 136
Las Vegas, NV 89147
Phone (702) 388-8979

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1730258443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10126 SILBURY HILL CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484727",
            "telephone_number": "702-252-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 S FORT APACHE RD",
            "address_2": "#136",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477968",
            "telephone_number": "702-388-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MON-HAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.