DR. DERRICK R YOUNG (NPI# 1437488665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437488665 |
| Entity Type | Individual |
| Full Name | DR. DERRICK R YOUNG |
| Credential | DDS, MSD |
| Practice Address |
2005 Saint Charles St Suite 3 Jasper IN 47546-2270 |
| Practice Telephone | 8126342040 |
| Practice Fax Number | 8124827405 |
| Mailing Telephone | 8126342040 |
| Mailing Fax Number | 8124827405 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12011014A | IN | Dental Providers |
| Street Address |
2005 SAINT CHARLES ST SUITE 3 |
| City | JASPER |
| State | IN |
| Zip Code | 47546-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407993181 | Kyley Alan Wood | Dentist | 2005 Saint Charles St, Suite #2, Jasper, IN 47546-9146 | 2007-01-31 |
| 1477934263 | Ross Michael Flannagan | Dentist | 2005 Saint Charles St, Suite #5, Jasper, IN 47546-2270 | 2015-06-17 |
| 1184953325 | Kizior & Young Orthodontics | Dentist | 2005 Saint Charles St, Suite 3, Jasper, IN 47546-2270 | 2009-12-17 |
| 1073713194 | Flannagan Plastic Surgery P.C. | Plastic Surgery | 2005 Saint Charles St, Suite 4, Jasper, IN 47546-9146 | 2007-07-18 |
| 1285771980 | Matthew Brian Monesmith | Dentist | 2005 Saint Charles St, Suite #2, Jasper, IN 47546-9146 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063606986 | Gerald Van Cammack II | Dentist | 2051 S Wheeler St Ste A, Jasper, TX 75951-5600 | 2007-09-04 |
| 1710177027 | David Michael Gamotis | Dentist | 1400 Highway 78 W, Jasper, AL 35501-3662 | 2007-08-01 |
| 1780803668 | John William Kizior | Dentist | 2005 St Charles St, Suite 3, Jasper, IN 47546-9146 | 2007-04-25 |
| 1184953325 | Kizior & Young Orthodontics | Dentist | 2005 Saint Charles St, Suite 3, Jasper, IN 47546-2270 | 2009-12-17 |
| 1063697217 | Richard Fuller Buhl | Dentist | 9 S Main St, Jasper, GA 30143-1600 | 2008-01-07 |
| 1831126481 | Jerry Lynn Boshell | Dentist | 1606 6th Ave S, Jasper, AL 35501 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1720695828 | Candid Indiana, P.C. | Dentist | 5 Washington St Fl 3, Valparaiso, IN 46383-4768 | 2020-09-23 |
| 1992357453 | Brace Yourself Orthodontics LLC | Dentist | 16329 State Road 23, South Bend, IN 46635-1457 | 2019-07-15 |
| 1417515255 | Mark Rex Rosenthall | Dentist | 3901 N Wheeling Ave, Muncie, IN 47304-1769 | 2019-06-05 |
| 1275190183 | Evan Randall Schmidt | Dentist | 3110 Willowcreek Rd, Portage, IN 46368-4424 | 2019-05-27 |
| 1508325879 | Rlm Orthodontics LLC | Dentist | 298 S 10th St Ste 100, Noblesville, IN 46060-2741 | 2019-03-17 |
| 1699234955 | Stonegate Orthodontics LLC | Dentist | 6857 W Stonegate Dr Ste B, Zionsville, IN 46077-8023 | 2019-03-17 |
| 1467917278 | Michael J Hacken | Dentist | 51565 Bittersweet Rd, Granger, IN 46530-8859 | 2019-02-06 |
| 1992290746 | Bbb of In, LLC | Dentist | 905 S College Mall Rd, Bloomington, IN 47401-6302 | 2018-06-25 |
| 1518456557 | Smile Doctors of Indiana, P.C. | Dentist | 1410 S Quail Run Rd, Vincennes, IN 47591-6845 | 2018-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.