NPIMap

Organization Active NPI

Jeremy M Young DDS MMSC Inc

  • Dental Clinic/Center
  • Grass Valley, CA
National Provider Identifier
1528455094
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEREMY M YOUNG DDS MMSC INC
Practice address
1364 Whispering Pines LN
Suite 2
Grass Valley, CA 95945-5975
Phone
(530) 272-4254
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Jeremy M YoungNPI 1942286885
Title
Ownere
Phone
(530) 272-4254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1364 Whispering Pines LN
Suite 2
Grass Valley, CA 95945-5975

Mailing address

1364 Whispering Pines LN
Suite 2
Grass Valley, CA 95945-5975
Phone (530) 272-4254

National Provider Directory

National Provider Directory

Locations

1364 Whispering Pines Ln
Ste 2
Grass Valley, CA 95945
Phone (530) 272-4254

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1528455094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN",
            "address_2": "SUITE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN",
            "address_2": "SUITE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY M YOUNG DDS MMSC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNERE",
        "authorized_official_telephone_number": "530-272-4254",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.