Colin Young DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

COLIN YOUNG DMD INC

Practice address

3028 W Jack London Blvd
Livermore, CA 94551-7609

Phone

(925) 905-9888

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Colin Young, DMDNPI 1083092001

Title

President

Phone

(702) 715-9343

Specialties & licenses 1

Addresses

Other names 1

• Crystal Smile Dental Dental Practice of Colin Young DMD Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colin Young, D.M.D.

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1083092001
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1871185975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 31ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213526",
            "telephone_number": "702-715-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 W JACK LONDON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517609",
            "telephone_number": "925-905-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN YOUNG DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-715-9343",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Smile Dental Dental Practice of Colin Young DMD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Clark
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• Maria Magdalena Coelho
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• Samuel L Cogo
• Daniel Combitsis, DO
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• Karin May Connor, BVMS
• Rachel Connors, R.D.
• Contreras Chiropractic Inc

• Dental Clinic/Center in Livermore, CA
• Providers in Livermore, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.