Jerry Young, D.D.S.
NPI 1417045485 · General Practice Dentistry · Diamond Bar, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Young, D.D.S. is a General Practice Dentistry provider in Diamond Bar, CA (NPI 1417045485).
Provider details
- NPI number
- 1417045485
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 31170 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2013-07-19
Frequently asked questions
- What is Jerry Young's NPI number?
- Jerry Young's National Provider Identifier (NPI) is 1417045485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Young's specialty?
- Jerry Young is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jerry Young located?
- Jerry Young's practice location on file with NPPES is 646 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037.
- What is Jerry Young's phone number?
- The practice phone number listed in the NPPES registry for Jerry Young is (909) 861-2661.
- Does Jerry Young accept Medicare?
- Jerry Young is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Young's NPI active?
- Yes — Jerry Young's NPI (1417045485) is active in the NPPES registry as of the last update on 2013-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.