Active NPI
Peter Young D D S Inc
- General Practice Dentistry
- Arcadia, CA
National Provider Identifier
1366732745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PETER YOUNG D D S INC
- Practice address
- 301 W Huntington Dr Ste 217
Arcadia, CA 91007-1529 - Phone
- (626) 445-2536
- Fax
- (626) 445-0127
- NPI assigned
- Apr 19, 2011
- Last updated
- Apr 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter S Young, DDS
- Title
- Owner
- Phone
- (626) 445-2536
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
301 W Huntington Dr Ste 217
Arcadia, CA 91007-1529
Mailing address
301 W Huntington Dr Ste 217
Arcadia, CA 91007-1529
Phone (626) 445-2536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110419000144 | CA | DME Supplier - Oral Surgery - Dentist | 8426232315 | Practice locations: Arcadia, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Arcadia, CA
- NPI 1316957970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1366732745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W HUNTINGTON DR STE 217",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910071529",
"telephone_number": "626-445-2536",
"fax_number": "626-445-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W HUNTINGTON DR STE 217",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910071529",
"telephone_number": "626-445-2536",
"fax_number": "626-445-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER YOUNG D D S INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-19",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-445-2536",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.