DR. TINA RENEE THEROUX
NPI 1083796023
Dentist - General Practice in North Grafton, MA

Q: What is Tina Theroux's NPI number?

The NPI number for Tina Theroux is 1083796023. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Tina Theroux's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tina Theroux was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 19, 2006PECOS Enrolled

103 WORCESTER ST STE A, NORTH GRAFTON, MA 01536(508) 839-2262(508) 839-6556 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Tina Renee Theroux NPPES

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

DR. TINA RENEE THEROUX (NPI 1083796023) is an individual general practice provider in North Grafton, Massachusetts, licensed in Massachusetts (20219) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083796023

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TINA RENEE THEROUX

Location Address103 WORCESTER ST STE ANorth Grafton, MA 01536-1050

Mailing Address103 Worcester St Ste ANorth Grafton, MA 01536-1050 · (508) 839-2262 · Fax (508) 839-6556

Phone(508) 839-2262

Fax(508) 839-6556

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateOctober 26, 2022

NPPES CertifiedOctober 26, 2022

✔ NPI 1083796023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · 20219

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

103 WORCESTER ST STE A, North Grafton, MA 01536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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)

Dr. Tina Renee Theroux 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 01536 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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

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

TAYLOR THEROUX

Dentist

103 WORCESTER ST STE A
NORTH GRAFTON, MA 01536

Worcester County (508) 887-0565

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 Tina Theroux's NPI number?

The NPI number for Tina Theroux is 1083796023. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Tina Theroux located?

Tina Theroux practices at 103 Worcester St Ste A, North Grafton, MA 01536. The listed phone number is (508) 839-2262.

What is Tina Theroux's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tina Theroux enrolled in Medicare?

Yes. Tina Theroux is registered in the Medicare PECOS enrollment system.

What insurance does Tina Theroux accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Tina Theroux 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 Tina Theroux was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.