Jessica Yen-Ping Su, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27436 Issued in TX

Practice address

9180 Bellaire Blvd Ste B
Houston, TX 77036-4600

Phone

(713) 773-1300

Fax

(713) 773-3311

NPI assigned

Jul 28, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MLS Dental Group PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1669836912
  NPD Authorized official
• SH Cooperation PLLC

  • General Practice Dentistry
  • Missouri City, TX
  • NPI 1174470819
  NPD Authorized official
• Thi Thi Nguyen DDS PA

  • Dentist
  • Houston, TX
  • NPI 1861598138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1104057983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 BELLAIRE BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364600",
            "telephone_number": "713-773-1300",
            "fax_number": "713-773-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 BELLAIRE BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364600",
            "telephone_number": "713-773-1300",
            "fax_number": "713-773-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "JESSICA",
        "middle_name": "YEN-PING",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "TX",
            "license": "27436",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58494",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Y Su, M.D.
• Hua Su, NP
• Jack M Su, MD
• Jackson Su, M.D.
• Jacob Charles Su, MD
• Samantha Su, MD
• Shirley Y Su, MD
• Spencer Henry Su, M.D.
• Tanya Su
• Yiyun Su

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.