Active NPI
Joanne Young, D.D.S.
- Dentist
- Valencia, CA
National Provider Identifier
1881801389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35463
- Practice address
- 28212 Kelly Johnson Pkwy.
Suite #170
Valencia, CA 91355-5087 - Phone
- (661) 257-6453
- Fax
- (661) 257-6450
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35463 | CA | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy.
Suite #170
Valencia, CA 91355-5087
Mailing address
28212 Kelly Johnson Pkwy.
Suite #170
Valencia, CA 91355-5087
Phone (661) 257-6453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160623000979 | CA | Order and Referring Only - Dentist | 9830480797 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35463 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Tran, DDS, a Dental Corporation | 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.
-
- General Practice Dentistry
- Valencia, CA
- NPI 1265808786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1881801389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY.",
"address_2": "SUITE #170",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555087",
"telephone_number": "661-257-6453",
"fax_number": "661-257-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY.",
"address_2": "SUITE #170",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555087",
"telephone_number": "661-257-6453",
"fax_number": "661-257-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.