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SUHO BAE DDS
NPI 1841715992
Dentist - General Practice in Espanola, NM

Active since August 10, 2017PECOS Enrolled
1508 N RIVERSIDE DR, ESPANOLA, NM 87532(888) 988-4066(847) 496-4850 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2017, Aug 10, 2017 (2 updates tracked since 2017).

About Suho Bae Dds NPPES

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

SUHO BAE DDS (NPI 1841715992) is an individual general practice provider in Espanola, New Mexico, licensed in New Mexico (DD4780) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841715992
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSUHO BAECredential: DDS
Location Address1508 N RIVERSIDE DREspanola, NM 87532-2064
Mailing Address2050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · (888) 988-4066 · Fax (847) 496-4850
Phone(888) 988-4066
Fax(847) 496-4850
Sole ProprietorNo
Enumeration DateAugust 10, 2017
Last NPPES UpdateAugust 16, 20172 updates tracked since enumeration
✔ NPI 1841715992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD4780
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.
1508 N RIVERSIDE DR, Espanola, NM 87532
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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)

Suho Bae Dds 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 87532 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 6

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

MUHAMMAD ATIF KHAN
Dentist
1508 N RIVERSIDE DR
ESPANOLA, NM 87532
Rio Arriba County (888) 988-4066
BRENT LEE JORGENSEN
Dentist (Orthodontics and Dentofacial Orthopedics)
1508 N RIVERSIDE DR
ESPANOLA, NM 87532
Rio Arriba County (888) 988-4066
HYKAL R KHOSRAVIBABADI DDS
Dentist
1508 N RIVERSIDE DR
ESPANOLA, NM 87532
Rio Arriba County (505) 753-0544
FAMILIA DENTAL ESP LLC
Clinic/Center (Dental)
1508 N RIVERSIDE DR
ESPANOLA, NM 87532
Rio Arriba County (888) 988-4066
KAMALA POUDEL
Dentist (General Practice)
1508 N RIVERSIDE DR
ESPANOLA, NM 87532
Rio Arriba County (505) 753-0544
DR. KEVIN CHUN HUI CHANG DDS
Dentist
1508 N RIVERSIDE DR
ESPANOLA, NM 87532
Rio Arriba County (505) 753-0544

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 Suho Bae's NPI number?

The NPI number for Suho Bae is 1841715992. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Suho Bae located?

Suho Bae practices at 1508 N Riverside Dr, Espanola, NM 87532. The listed phone number is (888) 988-4066.

What is Suho Bae's specialty?

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

Is Suho Bae enrolled in Medicare?

Yes. Suho Bae is registered in the Medicare PECOS enrollment system.

What insurance does Suho Bae accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 9 other insurers list Suho Bae 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 Suho Bae was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.