Adam Jason Youngquist, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7594 Issued in CO

Practice address

1103 South Shields Street
Fort Collins, CO 80521-4524

Phone

(970) 484-3213

Fax

(970) 484-4007

NPI assigned

Feb 2, 2007

Sex

Male

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 CO

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

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.

• Milnor Orthodontics Prof. LLC

  • Dental Clinic/Center
  • Fort Collins, CO
  • NPI 1366045783
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982742649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SOUTH SHIELDS STREET",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214524",
            "telephone_number": "970-484-3213",
            "fax_number": "970-484-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SOUTH SHIELDS STREET",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214524",
            "telephone_number": "970-484-3213",
            "fax_number": "970-484-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "ADAM",
        "middle_name": "JASON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaili Jade Young, BCBA
• Kody Young
• Laura Young, RD
• Mitzi Hedrick Young, LCSW
• Rebecca Young, LPCC
• David Youngs, LPC
• Your Happy Healthy (Side By Side Nutrition)
• Howard Chris Yurk, D.D.S.
• Preston Roy Yurt, DC
• Lance R Zabler, FNP

• Dentist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.