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SUSANA TEJADA D.M.D.
NPI 1003118225
Dentist in Roxbury, MA

Active since November 19, 2010PECOS Enrolled
45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 442-4088 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susana Tejada D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANA TEJADA D.M.D. (NPI 1003118225) is an individual dentist in Roxbury, Massachusetts, licensed in Massachusetts (DN1855592) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jamaica Plain.

NPPES Registry Identity

NPI1003118225
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUSANA TEJADACredential: D.M.D.
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing Address379a Centre StJamaica Plain, MA 02130-1241 · (617) 553-4838
Phone(617) 442-8800
Fax(617) 442-4088
Sole ProprietorNo
Enumeration DateNovember 19, 2010
Last NPPES UpdateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1003118225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1855592
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
45 DIMOCK ST, Roxbury, MA 02119
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Secondary Practice Location 1

Location 1379A Centre StJamaica Plain, MA 02130-1241 · Phone (617) 553-4838

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susana Tejada D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY LAUREN KELLOGG MD
Obstetrics & Gynecology
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
SOFIA PELLON LCSW
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HODA HAMED OD
Optometrist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
ASHLEY CORREIA
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DARREN CHEW DPT
Physical Therapist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 445-0647
JUDANA SANDRA BENNETT
Nurse Practitioner (Psychiatric/Mental Health)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 816-6505
DR. SELENA MARIA FRANCIS DMD
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HEATHER M PINA-CENTEIO
Social Worker (Clinical)
45 DIMOCK ST
BOSTON, MA 02119
Suffolk County (617) 442-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Tejada's NPI number?

The NPI number for Susana Tejada is 1003118225. It was assigned to this individual provider in the NPPES registry on November 19, 2010.

Where is Susana Tejada located?

Susana Tejada practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Susana Tejada's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susana Tejada enrolled in Medicare?

Yes. Susana Tejada is registered in the Medicare PECOS enrollment system.

What insurance does Susana Tejada accept?

Health plans from Humana list Susana Tejada as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susana Tejada was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.