Children's Dentistry of Elko

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTISTRY OF ELKO

Practice address

2578 Idaho St
Elko, NV 89801-4601

Phone

(775) 299-4790

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dallin Young, DDS

Title

President Owner

Phone

(208) 404-9888

Specialties & licenses 1

Addresses

Other names 1

• Dallin C. Young, DDS, PA Former legal business name

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1922516475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST STE A",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014601",
            "telephone_number": "775-299-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF ELKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DALLIN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "208-404-9888",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallin C. Young, DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mackayla Chacon, PCA
• Caitlynne Chapman
• Charles K. Dahlgren, M.D., Corp
• Charles K. Dahlgren, MD Corporation
• Michael Charlton
• CHMM Elko Mso, LLC (Elko Community Physicians Group)
• Pongkarn Chokjarunate
• Cassi Sue Christensen, RBT
• Erin Mae Christensen
• Stephanie L Christensen, CABI

• Pediatric Dentistry in Elko, NV
• Providers in Elko, NV by specialty
• Pediatric Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.