DR. KEVIN SU
NPI 1336791524
Dentist - General Practice in Huntington Beach, CA

Q: What is Kevin Su's NPI number?

The NPI number for Kevin Su is 1336791524. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Q: What is Kevin Su's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Su was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 09, 2019

9382 SHADWELL DR, HUNTINGTON BEACH, CA 92646(714) 717-1819 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 22, 2019, Jul 9, 2019 (2 updates tracked since 2019).

On this page

About Dr. Kevin Su NPPES

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

DR. KEVIN SU (NPI 1336791524) is an individual general practice provider in Huntington Beach, California, licensed in California (103905) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1336791524

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEVIN SU

Location Address9382 SHADWELL DRHuntington Beach, CA 92646-7200

Mailing Address9382 Shadwell DrHuntington Beach, CA 92646-7200

Phone(714) 717-1819

Sole ProprietorNo

Enumeration DateJuly 9, 2019

Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2021

✔ NPI 1336791524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in CA · 103905✔ Licensed in NV · 7307

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.

9382 SHADWELL DR, Huntington Beach, CA 92646

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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 ›

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 Kevin Su's NPI number?

The NPI number for Kevin Su is 1336791524. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Kevin Su located?

Kevin Su practices at 9382 Shadwell Dr, Huntington Beach, CA 92646. The listed phone number is (714) 717-1819.

What is Kevin Su's specialty?

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

What insurance does Kevin 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 6 other insurers list Kevin 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 Kevin Su was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.