JOLYN SU DDS
NPI 1013070317
Dentist in Bellevue, WA

Q: What is Jolyn Su's NPI number?

The NPI number for Jolyn Su is 1013070317. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Jolyn Su's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jolyn Su was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 18, 2006PECOS Enrolled

1426 112TH AVE NE, BELLEVUE, WA 98004(425) 455-2370(425) 455-8509 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jolyn Su Dds NPPES

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

JOLYN SU DDS (NPI 1013070317) is an individual dentist in Bellevue, Washington, licensed in Washington (DE00010326) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013070317

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJOLYN SUCredential: DDS

Location Address1426 112TH AVE NEBellevue, WA 98004-3710

Mailing Address1426 112th Ave NeBellevue, WA 98004-3710 · (425) 455-2370 · Fax (425) 455-8509

Phone(425) 455-2370

Fax(425) 455-8509

Sole ProprietorNo

Enumeration DateDecember 18, 2006

Last NPPES UpdateJuly 14, 2016

✔ NPI 1013070317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE00010326

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1426 112TH AVE NE, Bellevue, WA 98004

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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)

Jolyn Su Dds 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 98004 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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.

JOLYN A. SU, DDS, PLLC

Dentist (General Practice)

1426 112TH AVE NE
BELLEVUE, WA 98004

King County (425) 455-2370

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 Jolyn Su's NPI number?

The NPI number for Jolyn Su is 1013070317. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Jolyn Su located?

Jolyn Su practices at 1426 112th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 455-2370.

What is Jolyn Su's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jolyn Su enrolled in Medicare?

Yes. Jolyn Su is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jolyn Su was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.