DR. TIFFANY PETULIA YOUNG D.D.S.
NPI 1083862858
Dentist - General Practice in Glendale, CA

Active since September 04, 2008PECOS Enrolled
412 W COLORADO ST, SUITE C, GLENDALE, CA 91204(818) 244-4063 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tiffany Petulia Young D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIFFANY PETULIA YOUNG D.D.S. (NPI 1083862858) is an individual general practice provider in Glendale, California, licensed in California (57601) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083862858
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TIFFANY PETULIA YOUNGCredential: D.D.S.
Location Address412 W COLORADO ST, SUITE CGlendale, CA 91204-3097
Mailing Address412 W Colorado St, Suite CGlendale, CA 91204-3097 · (818) 244-4063
Sole ProprietorNo
Enumeration DateSeptember 4, 2008
NPI 1083862858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 57601
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
412 W COLORADO ST, Glendale, CA 91204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tiffany Petulia Young D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
412 W COLORADO ST, SUITE C
GLENDALE, CA 91204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Young's NPI number?

The NPI number for Tiffany Young is 1083862858. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Tiffany Young located?

Tiffany Young practices at 412 W Colorado St Suite C, Glendale, CA 91204. The listed phone number is (818) 244-4063.

What is Tiffany Young's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tiffany Young enrolled in Medicare?

Yes. Tiffany Young is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Young was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.