Su Ping Mai DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SU PING MAI DMD INC

Practice address

514 Estudillo Ave
San Leandro, CA 94577-4612

Phone

(510) 483-5553

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Su Ping MaiNPI 1629592456

Title

President

Phone

(415) 971-3712

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Su Ping Mai, DMD

  • General Practice Dentistry
  • Fort Hood, TX
  • NPI 1629592456
  NPD Authorized official
• James Paul Russo, D.D.S.

  • Dentist
  • San Leandro, CA
  • NPI 1750495461
  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1770303380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18447 FLEETWOOD AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774612",
            "telephone_number": "510-483-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU PING MAI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "SU PING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-971-3712"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Strickland
• Nicole Verdell Strother
• Becky K Stuart, PT, DPT
• Kelsey Stuhr
• Jenna Stymans
• Jason Su, L.AC.
• Zhao Bin Su, D.C., L.AC
• Wendy Suarez
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

• Dental Clinic/Center in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.