Scott Robert Young, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4155 Issued in WV

Practice address

234 Court St
Clarksburg, WV 26301-2906

Phone

(304) 623-4984

Fax

(304) 623-2830

NPI assigned

Aug 25, 2015

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

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.

• Samantha Jette DDS - Professional Corporation

  dba Clarksburg Family Dentistry

  • General Practice Dentistry
  • Clarksburg, WV
  • NPI 1902666415
  NPD (past)
• Thomas E Condron DDS

  • General Practice Dentistry
  • Clarksburg, WV
  • NPI 1457415135
  NPD (past)

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1811364912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 COURT ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012906",
            "telephone_number": "304-623-4984",
            "fax_number": "304-623-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 COURT ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012906",
            "telephone_number": "304-623-4984",
            "fax_number": "304-623-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Yeager
• Lee Ann Yoak
• Owen Brooke Yoke
• Melinda Yost
• Amanda Young
• David Brion Zebley
• Michelle L Zemonick Jenkins, CMA
• Larry Eugene Zickefoose
• Suprenna Zickefoose
• Tyler M Zimm

• General Practice Dentistry in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.