Individual provider Active NPI

Daniel Taylor Young Jr., M.ED LAT ATC

  • Athletic Trainer
  • Raleigh, NC
National Provider Identifier
1750798781
Registry record updated Feb 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1967 Issued in NC
Practice address
7941 Oak Estate St
Apt. 231
Raleigh, NC 27617-1966
Phone
(803) 917-6969
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1967 NC Primary
Athletic Trainer 2255A2300X 1741 TN

Addresses

Primary practice location

7941 Oak Estate St
Apt. 231
Raleigh, NC 27617-1966

Mailing address

4013 Rambling Hills Dr
Morrisville, NC 27560-8722
Phone (803) 917-6969

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
1967NCMDMarriage & Family Therapist
1741TNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423872000000",
    "number": "1750798781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4013 RAMBLING HILLS DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608722",
            "telephone_number": "803-917-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7941 OAK ESTATE ST",
            "address_2": "APT. 231",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276171966",
            "telephone_number": "803-917-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DANIEL",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.ED LAT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1967",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

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