Individual provider Active NPI

Jennifer Mai Sy, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1982129664
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33071 Issued in TX
Practice address
3655 Fredericksburg Rd Ste 112
San Antonio, TX 78201-3859
Phone
(210) 733-9990
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33071 TX Primary

Addresses

Primary practice location

3655 Fredericksburg Rd Ste 112
San Antonio, TX 78201-3859

Mailing address

215 E Courtland PL
San Antonio, TX 78212-3918
Phone (972) 375-4304

Other names 1

  • Dr. Jennifer Mai Tran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33071TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kitty Hawk Smiles Dentistry and Orthodontics, PC General Practice Past Accepting new patients
Brident Dental Associates PC PastSince Nov 24, 2019 Accepting new patients
South Texas Dental Associates, L.P. General Practice PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1982129664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E COURTLAND PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123918",
            "telephone_number": "972-375-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 FREDERICKSBURG RD STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013859",
            "telephone_number": "210-733-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "JENNIFER",
        "middle_name": "MAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRAN",
            "middle_name": "MAI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.