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SUE MIN MAK DDS
NPI 1295266013
Dentist in Cranston, RI

Active since March 23, 2017PECOS Enrolled
725 RESERVOIR AVE STE 301B, CRANSTON, RI 02910(401) 415-0101 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, Jun 24, 2024, Mar 23, 2017 (3 updates tracked since 2017).

About Sue Min Mak Dds NPPES

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

SUE MIN MAK DDS (NPI 1295266013) is an individual dentist in Cranston, Rhode Island, licensed in Massachusetts (DN1857349) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plainville, and is a graduate of Univ Of The Pacific Dugoni School Of Dentistry (2011).

NPPES Registry Identity

NPI1295266013
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUE MIN MAKCredential: DDS
Location Address725 RESERVOIR AVE STE 301BCranston, RI 02910-4451
Mailing Address679 Washington St Ste 3-314Attleboro, MA 02703-8406 · (617) 501-9271
Phone(401) 415-0101
Sole ProprietorNo
Medical School CMSUniv Of The Pacific Dugoni School Of DentistryGraduated 2011
Enumeration DateMarch 23, 2017
Last NPPES UpdateJune 16, 20263 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1295266013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1857349
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.
725 RESERVOIR AVE STE 301B, Cranston, RI 02910
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Secondary Practice Location 1

Location 130 Man Mar Dr Ste 9Plainville, MA 02762-2271 · Phone (401) 515-5893

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sue Min Mak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355881087
PECOS Enrollment IDI20240910000193
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.

Medicare Billing Reassignment

Medicare enrollment records show Sue Min Mak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New England Sleep Health LLC
Same address
General Practice
725 RESERVOIR AVE STE 301B
Cranston, RI 02910
  • Reassigned Medicare billing, Rhode Island enrollment
NPI 1437999521 (401) 515-5893

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

NEW ENGLAND SLEEP HEALTH LLC
Dentist (General Practice)
725 RESERVOIR AVE STE 301B
CRANSTON, RI 02910
Providence County (401) 515-5893

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 Sue Min Mak's NPI number?

The NPI number for Sue Min Mak is 1295266013. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Sue Min Mak located?

Sue Min Mak practices at 725 Reservoir Ave Ste 301B, Cranston, RI 02910. The listed phone number is (401) 415-0101.

What is Sue Min Mak's specialty?

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

Is Sue Min Mak enrolled in Medicare?

Yes. Sue Min Mak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sue Min Mak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sue Min Mak reassigns Medicare benefits to New England Sleep Health LLC (Cranston, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sue Min Mak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sue Min Mak accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Sue Min Mak 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 Sue Min Mak was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.