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SU MEI MAI
NPI 1487179743
Dentist in Fort Irwin, CA

Active since August 08, 2017PECOS Enrolled
3745 FREDRICKSBURG ST APT B, FORT IRWIN, CA 92310(270) 798-8751 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2021, Aug 8, 2017 (2 updates tracked since 2017).

About Su Mei Mai NPPES

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

SU MEI MAI (NPI 1487179743) is an individual dentist in Fort Irwin, California, licensed in California (101839) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487179743
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSU MEI MAI
Location Address3745 FREDRICKSBURG ST APT BFort Irwin, CA 92310-1701
Mailing Address3745 Fredricksburg St Apt BFort Irwin, CA 92310-1701 · (270) 798-8751
Phone(270) 798-8751
Sole ProprietorYes
Enumeration DateAugust 8, 2017
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1487179743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 101839
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.
3745 FREDRICKSBURG ST APT B, Fort Irwin, CA 92310
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Mei Mai 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.

Medicare Billing Reassignment

Medicare enrollment records show Su Mei Mai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kwon DDS Professional Corporation
105 mi
Dentist
21091 RIDER ST, SUITE 203
Perris, CA 92570
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1881021434 (951) 322-4058

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 92310 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Su Mei Mai's NPI number?

The NPI number for Su Mei Mai is 1487179743. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Su Mei Mai located?

Su Mei Mai practices at 3745 Fredricksburg St Apt B, Fort Irwin, CA 92310. The listed phone number is (270) 798-8751.

What is Su Mei Mai's specialty?

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

Is Su Mei Mai enrolled in Medicare?

Yes. Su Mei Mai is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Su Mei Mai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Mei Mai reassigns Medicare benefits to Kwon DDS Professional Corporation (Perris, CA). 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 Su Mei Mai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Su Mei Mai accept?

Health plans from HRI Dental & Vision and Paramount list Su Mei Mai 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 Su Mei Mai was last updated on March 18, 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.