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DR. JESSICA YEN-PING SU D.M.D
NPI 1104057983
Dentist - General Practice in Houston, TX

Active since July 28, 2009PECOS Enrolled
9180 BELLAIRE BLVD STE B, HOUSTON, TX 77036(713) 773-1300(713) 773-3311 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2024, Dec 3, 2020 (2 updates tracked since 2020).

About Dr. Jessica Yen-ping Su D.m.d NPPES

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

DR. JESSICA YEN-PING SU D.M.D (NPI 1104057983) is an individual general practice provider in Houston, Texas, licensed in Texas (27436) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104057983
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JESSICA YEN-PING SUCredential: D.M.D
Location Address9180 BELLAIRE BLVD STE BHouston, TX 77036-4600
Mailing Address9180 Bellaire Blvd Ste BHouston, TX 77036-4600 · (713) 773-1300 · Fax (713) 773-3311
Phone(713) 773-1300
Fax(713) 773-3311
Sole ProprietorNo
Enumeration DateJuly 28, 2009
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1104057983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 27436✔ Licensed in CA · 58494
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.

Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X · License 27436 (TX)
9180 BELLAIRE BLVD STE B, Houston, TX 77036
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Dr. Jessica Yen-ping Su D.m.d 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 77036 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

MLS DENTAL GROUP PLLC
Dentist (General Practice)
9180 BELLAIRE BLVD STE B
HOUSTON, TX 77036
Harris County (713) 773-1300

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 Jessica Su's NPI number?

The NPI number for Jessica Su is 1104057983. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Jessica Su located?

Jessica Su practices at 9180 Bellaire Blvd Ste B, Houston, TX 77036. The listed phone number is (713) 773-1300.

What is Jessica Su's specialty?

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

Is Jessica Su enrolled in Medicare?

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

What insurance does Jessica Su accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Jessica 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 Jessica Su was last updated on June 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.