Jennifer Mai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28160 Issued in TX

Practice address

28527 Tomball Pkwy
Tomball, TX 77375-4545

Phone

(713) 623-1122

Fax

(281) 907-8003

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Mai Vantage Dental PLLC

  • General Practice Dentistry
  • Tomball, TX
  • NPI 1053835488
  Medicare reassignment NPD Authorized official
• Man Tooth Oral Services PLLC

  • Dentist
  • Tomball, TX
  • NPI 1336802230
  NPD
• NBNL Dental PLLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1871107714
  NPD

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1669737219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28527 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754545",
            "telephone_number": "713-623-1122",
            "fax_number": "281-907-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28527 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754545",
            "telephone_number": "713-623-1122",
            "fax_number": "281-907-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28160",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728164-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M O D & Associates Inc
• M. Atif Rahi, M.D., PA
• Anh Ngoc Ma, FNP
• Kathy Macnak, MSN, FNP
• Mai Vantage Dental PLLC
• Majestic Dental PLLC
• Alecia Walker Mallett, RN, NP-C
• Mamai Home Healthcare Corporation
• Man Tooth Oral Services PLLC
• Jason J Manafi, PA

• General Practice Dentistry in Tomball, TX
• Providers in Tomball, 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 Mar 24, 2022; 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.