Zachary Young, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019029007 Issued in IL

Practice address

615 S Randall Rd
#110
St Charles, IL 60174-1564

Phone

(630) 443-6635

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

Yes

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 IL

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

Practice roles

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.

• Affordable Dentistry Today, PC

  • General Practice Dentistry
  • St. Charles, IL
  • NPI 1750503371
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1932462041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3N960 BITTERSWEET RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754844",
            "telephone_number": "309-207-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S RANDALL RD",
            "address_2": "#110",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741564",
            "telephone_number": "630-443-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookelyn Michele Young
• Cameron Keith Young, LMFT
• Giovanna Young
• Sabrina M Young, PSY.D.
• Suzanne M Young, MS,CCC-SLP
• John Andrew Yuhas, D.P.M.
• Douglas Aaron Yuvan, O.D.
• Dawn G. Zappitelli, L.C.S.W.
• Anthony Michael Zatto, PTA
• Rachel Zayat

• Dentist in St Charles, IL
• Providers in St Charles, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.