Jy Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21206 Issued in TX

Legal business name

JY DENTAL, PLLC

Practice address

4410 N Midkiff Rd
Suite D-1
Midland, TX 79705-4246

Phone

(432) 553-3886

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Youngblood, DDS

Title

Owner

Phone

(432) 553-3886

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1790210904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD",
            "address_2": "SUITE D-1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 N MIDKIFF RD",
            "address_2": "SUITE D-1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054246",
            "telephone_number": "432-553-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-553-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21206",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catarina Juarez
• Genevieve Evette Juarez, FNP
• Julie Ohlman MD LP
• Julie R Ohlman MD PA
• Paul A Jurek, PHD
• K. Nicole Whitley FNP-C, PLLC
• Rebekah Ann Karnes, APRN
• Nayma Zainab Kashmari, PA-S
• Frank Kasman
• Carson Katen, PA-S

• General Practice Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.