Individual provider Active NPI

Alan D. Young, D.M.D.

  • Periodontics
  • Garden Grove, CA
National Provider Identifier
1124062260
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
29537 Issued in CA
Practice address
12620 Brookhurst St
Suite 3
Garden Grove, CA 92840-4875
Phone
(714) 539-6260
Fax
(714) 537-6018
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 29537 CA Primary

Addresses

Primary practice location

12620 Brookhurst St
Suite 3
Garden Grove, CA 92840-4875

Mailing address

12620 Brookhurst St
Suite 3
Garden Grove, CA 92840-4875
Phone (714) 539-6260

Other names 1

  • Dr. Alan Dick Young Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124062260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 BROOKHURST ST",
            "address_2": "SUITE 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404875",
            "telephone_number": "714-539-6260",
            "fax_number": "714-537-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 BROOKHURST ST",
            "address_2": "SUITE 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404875",
            "telephone_number": "714-539-6260",
            "fax_number": "714-537-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "29537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALAN",
            "last_name": "YOUNG",
            "middle_name": "DICK",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.