Stephanie R Young, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4895 Issued in AL

Practice address

506 1St Ave SE
Cullman, AL 35055-4301

Phone

(256) 739-3337

Fax

(256) 739-3165

NPI assigned

Aug 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Today'S Family Dentistry, P.C.

  • General Practice Dentistry
  • Cleveland, AL
  • NPI 1336455815
  NPD (past)
• Today'S Family Dentistry, P.C.

  • Dentist
  • Cullman, AL
  • NPI 1992981443
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1982716403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350560910",
            "telephone_number": "256-739-3337",
            "fax_number": "256-739-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350554301",
            "telephone_number": "256-739-3337",
            "fax_number": "256-739-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936996",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yellow Brick Road Counseling, LLC
• Kathren Leigh York, LPC
• Carol A Young
• Matthew Alan Young, M.D.
• Melissa Bailey Young, P.A.
• Harry Sandoval Yu, MD
• Nathan Ziegenbein, CRNP

• General Practice Dentistry in Cullman, AL
• Providers in Cullman, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.