Dirk T. De Young, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007652 Issued in WA

Practice address

1222 2ND St
Marysville, WA 98270-4907

Phone

(360) 653-2783

Fax

(360) 653-3328

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dirk T. de Young, D.D.S.

  • Dental Clinic/Center
  • Marysville, WA
  • NPI 1982544003
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902907272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 2ND ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704907",
            "telephone_number": "360-653-2783",
            "fax_number": "360-653-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 2ND ST",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704907",
            "telephone_number": "360-653-2783",
            "fax_number": "360-653-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE YOUNG",
        "first_name": "DIRK",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS",
            "identifier": "57652",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5034160",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "DE5381",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Nicole Davis
• Rachel Diane Dawson, MD
• Maria Carolina De Bruyn, M.A.
• Fa Abigail C De Imus, MD
• Cheryl Nirmali De Silva, M.D.
• Grace Gretchen Delap
• Maria Teresa Dellino
• Dennis L. Booth. D.C., PLLC (Fourth Street Chiropractic)
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Cedar Family Dentistry)
• Benjamin Devaud

• General Practice Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• General Practice Dentistry in Washington

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

Verify at the official NPI Registry.