Deirdre Danielle Young, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901019647 Issued in MI

Practice address

16068 E 8 Mile Rd
Eastland Family Dentistry
Detroit, MI 48205-1416

Phone

(313) 372-8580

Fax

(313) 372-7739

NPI assigned

Aug 20, 2007

Last updated

Apr 8, 2009By 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 MI

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deirdre.young.1@18430.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

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.

• The Wellness Plan Medical Centers

  dba The Wellness Plan

  • Clinic/Center
  • Detroit, MI
  • NPI 1043373244
  Medicare reassignment NPD
• The Wellness Plan Medical Centers

  dba The Wellness Plan-Keys Grace Clinic

  • Federally Qualified Health Center (FQHC)
  • Madison Heights, MI
  • NPI 1114420353
  NPD
• Eastland Family Dentistry

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1285880872
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1922291400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16068 E 8 MILE RD",
            "address_2": "EASTLAND FAMILY DENTISTRY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051416",
            "telephone_number": "313-372-8580",
            "fax_number": "313-372-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16068 E 8 MILE RD",
            "address_2": "EASTLAND FAMILY DENTISTRY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051416",
            "telephone_number": "313-372-8580",
            "fax_number": "313-372-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DEIRDRE",
        "middle_name": "DANIELLE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Young
• Christopher Michael Young, MD
• Claire Young
• David Young
• Deanna L Young
• Dejah Young
• Destinee Young
• Devin Young, MD
• Diana Young, L.L.M.S.W.
• Dwight Young

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.