Individual provider Active NPI

Jenna Mai, DDS

  • Dentist
  • Houston, TX
National Provider Identifier
1982265229
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35335 Issued in TX
Practice address
9344 Jones Rd Ste M
Houston, TX 77065-5362
Phone
(281) 970-3649
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35335 TX Primary

Addresses

Primary practice location

9344 Jones Rd Ste M
Houston, TX 77065-5362

Mailing address

11315 Frost River CT
Tomball, TX 77377-8767

Other practice location 1

9979 Beechnut St
Houston, TX 77036-6515
Phone (832) 581-3993

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
35335TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eversmiles Dental Current Accepting new patients
Abs Dental Associates Dentist Past Accepting new patients

Organizations & group practices 2

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1982265229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 FROST RIVER CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9344 JONES RD STE M",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655362",
            "telephone_number": "281-970-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9979 Beechnut St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770366515",
            "country_code": "US",
            "telephone_number": "832-581-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "JENNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.