PEITI SU DDS
NPI 1104055235
Dentist - Endodontics in Sacramento, CA

Q: What is Peiti Su's NPI number?

The NPI number for Peiti Su is 1104055235. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Peiti Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Peiti Su was last updated on March 3, 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 July 10, 2009PECOS Enrolled

1721 LA PLAYA WAY, SACRAMENTO, CA 95864(916) 432-3431 Get Directions Write a Review

NPPES record last updated: March 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peiti Su Dds NPPES

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

PEITI SU DDS (NPI 1104055235) is an individual endodontics provider in Sacramento, California, licensed in California (62032) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104055235

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NamePEITI SUCredential: DDS

Location Address1721 LA PLAYA WAYSacramento, CA 95864-1508

Mailing Address4300 Berrendo DrSacramento, CA 95864-3120 · (916) 432-3431

Phone(916) 432-3431

Sole ProprietorYes

Enumeration DateJuly 10, 2009

Last NPPES UpdateMarch 3, 2013

✔ NPI 1104055235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

Licenses✔ Licensed in CA · 62032✔ Licensed in NY · 055065-1

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1721 LA PLAYA WAY, Sacramento, CA 95864

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peiti 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 95864 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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.

SAMUEL SUN DDS

Dentist

1721 LA PLAYA WAY
SACRAMENTO, CA 95864

Sacramento County (408) 674-3963

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 Peiti Su's NPI number?

The NPI number for Peiti Su is 1104055235. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Peiti Su located?

Peiti Su practices at 1721 La Playa Way, Sacramento, CA 95864. The listed phone number is (916) 432-3431.

What is Peiti Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Peiti Su enrolled in Medicare?

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

What insurance does Peiti Su accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Peiti Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peiti Su was last updated on March 3, 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.