SU PING MAI DMD
NPI 1629592456
Dentist - General Practice in Fort Hood, TX

Q: What is Su Ping Mai's NPI number?

The NPI number for Su Ping Mai is 1629592456. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Q: What is Su Ping Mai'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 Su Ping Mai was last updated on July 8, 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 August 02, 2017PECOS Enrolled

36000 DARNALL LOOP, FORT HOOD, TX 76544(254) 287-2705 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2021, Nov 20, 2019, Aug 2, 2017 (3 updates tracked since 2017).

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About Su Ping Mai Dmd NPPES

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

SU PING MAI DMD (NPI 1629592456) is an individual general practice provider in Fort Hood, Texas, licensed in Kansas (61517) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629592456

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSU PING MAICredential: DMD

Location Address36000 DARNALL LOOPFort Hood, TX 76544-5095

Mailing Address36000 Darnall LoopFort Hood, TX 76544-5095 · (254) 287-2705

Phone(254) 287-2705

Sole ProprietorNo

Enumeration DateAugust 2, 2017

Last NPPES UpdateJuly 8, 20213 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1629592456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KS · 61517

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 ListedDentistTaxonomy 122300000X · License 101759 (CA)

36000 DARNALL LOOP, Fort Hood, TX 76544

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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)

Su Ping Mai Dmd 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 Ping Mai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Davis Street Community Center Incorporated

1,459 mi

Federally Qualified Health Center (FQHC)

3081 TEGARDEN
San Leandro, CA 94577

Reassigned Medicare billing, California enrollment
42 clinicians in this Medicare group

NPI 1215358924 (510) 347-4620

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 76544 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE MARIE PESCE DO

Emergency Medicine

36000 DARNALL LOOP, DEM BOX 31
FORT HOOD, TX 76544

Bell County (254) 288-8303

DR. TITUS J RUND D.O.

General Practice

36000 DARNALL LOOP, CREDENTIALS OFFICE
FORT HOOD, TX 76544

Bell County (254) 288-8568

JORGE A CORTES R.PH.

Pharmacist

36000 DARNALL LOOP
FORT HOOD, TX 76544

Bell County (254) 288-8801

DR. ERICA LEANNE JEFFERSON PHARMD

Pharmacist

36000 DARNALL LOOP, CRDAMC DEPARTMENT OF PHARMACY
FORT HOOD, TX 76544

Bell County (254) 288-8828

DR. BRITTANY NICOLE HALL-CLARK PHD

Psychologist (Clinical)

36000 DARNALL LOOP, CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544

Bell County (254) 288-1600

MS. RUTH H MANUELE R.D., L.D., MPH

Dietitian, Registered

36000 DARNALL LOOP, ATTN POPULATION HEALTH
FORT HOOD, TX 76544

Bell County (254) 288-8859

MRS. WHYLLYS HUDSON BYRD LPC, LCDC, NCC

Counselor (Addiction (Substance Use Disorder))

36000 DARNALL LOOP
FORT HOOD, TX 76544

Bell County (254) 287-2892

MS. DIANE DOROTHY BOOR MPAS, PA-C

Physician Assistant

36000 DARNALL LOOP, CARL R. DARNALL ARMY MEDICAL CENTER-THOMAS MOORE
FORT HOOD, TX 76544

Bell County (254) 287-5410

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 Ping Mai's NPI number?

The NPI number for Su Ping Mai is 1629592456. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Su Ping Mai located?

Su Ping Mai practices at 36000 Darnall Loop, Fort Hood, TX 76544. The listed phone number is (254) 287-2705.

What is Su Ping Mai's specialty?

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

Is Su Ping Mai enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), Su Ping Mai reassigns Medicare benefits to The Davis Street Community Center Incorporated (San Leandro, 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 Ping Mai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Su Ping Mai accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Su Ping 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 Ping Mai was last updated on July 8, 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.