Active NPI
Young K Dill, DMD
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1881889459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3710
- Practice address
- 2538 Anthem Village Drive
Suite 100
Henderson, NV 89052-5551 - Phone
- (702) 897-5560
- Fax
- (702) 269-5511
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3710 | NV | Primary |
Addresses
Primary practice location
2538 Anthem Village Drive
Suite 100
Henderson, NV 89052-5551
Mailing address
2538 Anthem Village Drive
Suite 100
Henderson, NV 89052-5551
Phone (702) 897-5560
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 |
|---|---|---|---|
| 3710 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Y Kim a Professional Corp | General Practice | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1881889459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 ANTHEM VILLAGE DRIVE",
"address_2": "SUITE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525551",
"telephone_number": "702-897-5560",
"fax_number": "702-269-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2538 ANTHEM VILLAGE DRIVE",
"address_2": "SUITE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525551",
"telephone_number": "702-897-5560",
"fax_number": "702-269-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILL",
"first_name": "YOUNG",
"middle_name": "K",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "3710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.