Active NPI
Kyle Edward Young, DDS
- Dentist
- Anna, TX
National Provider Identifier
1942876420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36896
- Practice address
- 2101 W White St # 100
Anna, TX 75409-5347 - Phone
- (972) 924-2452
- NPI assigned
- Jun 3, 2021
- Last updated
- Apr 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 36896 | TX | Primary |
Addresses
Primary practice location
2101 W White St # 100
Anna, TX 75409-5347
Mailing address
2101 W White St # 100
Anna, TX 75409-5347
Phone (510) 292-5265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36896 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1942876420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 W WHITE ST # 100",
"city": "ANNA",
"state": "TX",
"postal_code": "754095347",
"telephone_number": "510-292-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W WHITE ST # 100",
"city": "ANNA",
"state": "TX",
"postal_code": "754095347",
"telephone_number": "972-924-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KYLE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.