MR. JERRY P. YOUNG D.D.S.
NPI 1417045485
Dentist - General Practice in Diamond Bar, CA

Q: What is Jerry Young's NPI number?

The NPI number for Jerry Young is 1417045485. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Jerry Young's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Young was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 11, 2006PECOS Enrolled

646 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765(909) 861-2661(909) 861-6951 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Jerry P. Young D.d.s. NPPES

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

MR. JERRY P. YOUNG D.D.S. (NPI 1417045485) is an individual general practice provider in Diamond Bar, California, licensed in California (31170) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417045485

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. JERRY P. YOUNGCredential: D.D.S.

Location Address646 N DIAMOND BAR BLVDDiamond Bar, CA 91765-1037

Mailing Address646 N Diamond Bar BlvdDiamond Bar, CA 91765-1037 · (909) 861-2661 · Fax (909) 861-6951

Phone(909) 861-2661

Fax(909) 861-6951

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 19, 2013

✔ NPI 1417045485 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 · 31170

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.

646 N DIAMOND BAR BLVD, Diamond Bar, CA 91765

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerry P. 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 91765 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 4

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

MRS. MAUREEN T SHORT DDS

Dentist (Pediatric Dentistry)

646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765

Los Angeles County (909) 861-2661

JEON CHO DENTAL PARTNERSHIP

Dentist (General Practice)

646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765

Los Angeles County (909) 861-2661

DR. JAEWOO CHO D.D.S.

Dentist (General Practice)

646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765

Los Angeles County (909) 861-2661

YOUNG AND SHORT, A DENTAL CORPORATION

Dentist

646 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765

Los Angeles County (909) 861-2661

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 Jerry Young's NPI number?

The NPI number for Jerry Young is 1417045485. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Jerry Young located?

Jerry Young practices at 646 N Diamond Bar Blvd, Diamond Bar, CA 91765. The listed phone number is (909) 861-2661.

What is Jerry Young's specialty?

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

Is Jerry Young enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Young was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.