Active NPI
Craig A Young, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Jordan, UT
National Provider Identifier
1801085063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5925457-9922
- Practice address
- 1231 W. 9000 S.
Suite D
West Jordan, UT 84088 - Phone
- (801) 999-4431
- Fax
- (801) 878-7035
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7399 | AZ | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5925457-9922 | UT | Primary |
Addresses
Primary practice location
1231 W. 9000 S.
Suite D
West Jordan, UT 84088
Mailing address
1055 Ruth St.
Ste 2
Prescott, AZ 86301
Phone (928) 775-8448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801085063 | Other | AZ | ARIZONA NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5925457-9922 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 7399 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthodontic Payment Services, LLC | Past | Accepting new patients |
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.
-
- Dentist
- West Jordan, UT
- NPI 1528328846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1801085063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RUTH ST.",
"address_2": "STE 2",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86301",
"telephone_number": "928-775-8448",
"fax_number": "928-443-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 W. 9000 S.",
"address_2": "SUITE D",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "801-999-4431",
"fax_number": "801-878-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CRAIG",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AZ",
"license": "7399",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "5925457-9922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA NPI",
"identifier": "1801085063",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.