Sue Nimer Young, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4655 Issued in AL

Practice address

1907 Rainbow Dr
Gadsden, AL 35901-5505

Phone

(256) 467-6000

Fax

(256) 485-4545

NPI assigned

Aug 19, 2006

Last updated

May 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Dentistry East P.C.

  • Pediatric Dentistry
  • Gadsden, AL
  • NPI 1427495969
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1770697146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015505",
            "telephone_number": "256-467-6000",
            "fax_number": "256-485-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015505",
            "telephone_number": "256-467-6000",
            "fax_number": "256-485-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMER YOUNG",
        "first_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "839665",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHS ID NUMBER",
            "identifier": "996722",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP BENEFITS",
            "identifier": "996722",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149156",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009983265",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51136461",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "51527605",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922420",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria NG, M.S. CF-SLP
• Brian Nguyen, MD
• John N Nichols, MD
• June A Nichols, PSY.D.
• Michael Anthony Niemzak, D.M.D.
• Anthony Scott Noah, P.T.
• Johnnie Ray Nobles Jr., O.D.
• Paul Jorgen Nordness, M.D.
• North Alabama Cardiology Center
• North Alabama Medical Association LLC

• Pediatric Dentistry in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.