Kristin H York, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011003A Issued in IN

Practice address

207 North St
Suite 202
West Lafayette, IN 47906-3083

Phone

(765) 743-3122

Fax

(765) 838-0374

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

No

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 IN

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

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1962699801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NORTH ST",
            "address_2": "SUITE 202",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063083",
            "telephone_number": "765-743-3122",
            "fax_number": "765-838-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 NORTH ST",
            "address_2": "SUITE 202",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063083",
            "telephone_number": "765-743-3122",
            "fax_number": "765-838-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "KRISTIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoon Sung Yang, RPH
• Simone Yeomans, M.S.
• Yidi Orthodontics, LLC
• Megan M Yoder
• Patrick William Yoder
• Yost Therapy Inc.
• Chloe Jungsu You, PHARMD
• Amanda Young
• Chad Young, MED, ATC
• Hope Young

• General Practice Dentistry in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.