Active NPI
Melissa Kathryn Young, DDS
- Dentist
- Arlington, WA
National Provider Identifier
1932494085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60416185
- Practice address
- 326 S Stillaguamish Ave
Arlington, WA 98223-1652 - Phone
- (603) 572-5430
- Fax
- (360) 572-5431
- NPI assigned
- Jun 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60416185 | WA | Primary |
Addresses
Primary practice location
326 S Stillaguamish Ave
Arlington, WA 98223-1652
Mailing address
326 S Stillaguamish Ave
Arlington, WA 98223-1652
Phone (603) 572-5430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140805002096 | WA | Order and Referring Only - Oral Surgery | 2163649773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60416185 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1932494085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 S STILLAGUAMISH AVE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231652",
"telephone_number": "603-572-5430",
"fax_number": "360-572-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 S STILLAGUAMISH AVE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231652",
"telephone_number": "603-572-5430",
"fax_number": "360-572-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MELISSA",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60416185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.