Active NPI
Lucinda J Young, DMD
- Dentist
- Winter Park, CO
National Provider Identifier
1972947471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00201855
- Practice address
- 21 Kings Crossing Road #107
Winter Park, CO 80482 - Phone
- (970) 726-5556
- NPI assigned
- Apr 26, 2013
- Last updated
- May 24, 2018
- Sex
- Female
- 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 | DEN.00201855 | CO | Primary |
Addresses
Primary practice location
21 Kings Crossing Road #107
Winter Park, CO 80482
Mailing address
PO Box 1266
Winter Park, CO 80482-1266
Phone (970) 726-5552
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 |
|---|---|---|---|
| DEN.00201855 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WP Dental LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1972947471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1266",
"city": "WINTER PARK",
"state": "CO",
"postal_code": "804821266",
"telephone_number": "970-726-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 KINGS CROSSING ROAD #107",
"city": "WINTER PARK",
"state": "CO",
"postal_code": "80482",
"telephone_number": "970-726-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LUCINDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00201855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.