Dan Kip Young, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16111 Issued in MO

Practice address

2640 E 32ND St Ste 6
Joplin, MO 64804-4303

Phone

(417) 781-3440

Fax

(417) 708-0781

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Young Family Dentistry, LLC

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1417467366
  NPD (past)
• Young Family Dentistry, LLC

  • General Practice Dentistry
  • Cassville, MO
  • NPI 1801366315
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821184045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E 32ND ST STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044303",
            "telephone_number": "417-781-3440",
            "fax_number": "417-781-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 E 32ND ST STE 6",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044303",
            "telephone_number": "417-781-3440",
            "fax_number": "417-708-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Mc Clelland Blvd",
            "address_2": "Bldg A Suit 107",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648041623",
            "country_code": "US",
            "telephone_number": "417-781-3440",
            "fax_number": "417-781-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DAN",
        "middle_name": "KIP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "1611",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "16111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori William Yoakum, PHARMD
• Todd Michael Yockey, P.T.
• Jacob Allen Yoder
• Yogi Hicks Hearing Aid Labs, LLC.
• Young Family Dentistry, LLC
• Keila Betzaira Young, DNP, FNP-C
• Kelly Jane Young, CRADC
• Lori Young, PT
• Tiffany Leeanne Young, CFNP
• Pamela Ann Younger, RDH

• General Practice Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.