Michelle Yip-Young Tolbert, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12257 Issued in MD

Practice address

6545 Crain Hwy
La Plata, MD 20646-4268

Phone

(301) 932-1105

Fax

(301) 609-4765

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MD

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

State licenses

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.

• Michelle Yip-Young Tolbert DDS PA

  • Dentist
  • La Plata, MD
  • NPI 1134344229
  Authorized official Same address or phone

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1891037750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 CRAIN HWY",
            "address_2": "PO BOX 1688",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464268",
            "telephone_number": "301-932-1105",
            "fax_number": "301-609-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 CRAIN HWY",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464268",
            "telephone_number": "301-932-1105",
            "fax_number": "301-609-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "MICHELLE",
        "middle_name": "YIP-YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsea Thomas, COTA/L
• Marietta Thomas
• Michaela Thompson
• Latoria Kyana Thornton, MSW
• Kelsey Renee Thrush, D.O.
• Cassandra Lenora Tolson
• Peter Shelton Trent, MD
• Carly Elizabeth Trevathan
• Trico Clinical Services, LTD
• Paula Jean Trinch

• Dentist in La Plata, MD
• Providers in La Plata, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.