Active NPI
Jeremy M Young, DDS MMSC
- Dentist
- Grass Valley, CA
National Provider Identifier
1942286885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49032
- Practice address
- 1364 Whispering Pines Lane
Suite 2
Grass Valley, CA 95945 - Phone
- (530) 272-4254
- Fax
- (530) 272-3152
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49032 | CA | Primary |
Addresses
Primary practice location
1364 Whispering Pines Lane
Suite 2
Grass Valley, CA 95945
Mailing address
1364 Whispering Pines Lane
Suite 2
Grass Valley, CA 95945
Phone (530) 272-4254
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49032 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeremy M Young DDS MMSC Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Grass Valley, CA
- NPI 1528455094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1942286885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 WHISPERING PINES LANE",
"address_2": "SUITE 2",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-272-4254",
"fax_number": "530-272-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 WHISPERING PINES LANE",
"address_2": "SUITE 2",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-272-4254",
"fax_number": "530-272-3152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JEREMY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS MMSC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49032",
"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 Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.