Young S Yi, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1857550 Issued in MA

Practice address

290 Baker Ave Ste N228
Concord, MA 01742-2192

Phone

(978) 369-7771

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• BCH Dental Group

  • Pediatric Dentistry
  • Boston, MA
  • NPI 1699876318
  NPD (past)
• Childrens Hospital Boston

  • Children's Hospital
  • Boston, MA
  • NPI 1770741530
  NPD (past)
• Pediatric Dentistry

  • Pediatric Dentistry
  • Concord, MA
  • NPI 1629055793
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1942555859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BOSTON POST RD W",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524605",
            "telephone_number": "508-481-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BAKER AVE STE N228",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422192",
            "telephone_number": "978-369-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Boston Post Rd W",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017524605",
            "country_code": "US",
            "telephone_number": "508-481-8161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "YOUNG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857550",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1857550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ting Wu
• WV-Concord SNF Opco, LLC
• Adeline Wyman Battalen, LICSW
• Mayra Yanes-Seyfarth, MS, RD, LDN
• Shelley Yang, M.D.
• Landon Perini York
• Annie Yuan, PHARMD
• Charleni Zabala
• Walid Zairi, CRNA
• Donald Zall, LICSW

• Pediatric Dentistry in Concord, MA
• Providers in Concord, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.