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DOMINIQUE D. ROUSSON D.M.D.
NPI 1154437408
Dentist in West Newton, MA

Active since August 21, 2006PECOS Enrolled
1001 WATERTOWN ST., WEST NEWTON, MA 02465(617) 965-1321(617) 965-2412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique D. Rousson D.m.d. NPPES

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

DOMINIQUE D. ROUSSON D.M.D. (NPI 1154437408) is an individual dentist in West Newton, Massachusetts, licensed in Massachusetts (MA 17814) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154437408
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDOMINIQUE D. ROUSSONCredential: D.M.D.
Location Address1001 WATERTOWN ST.West Newton, MA 02465
Mailing Address1001 Watetown StWest Newton, MA 02465 · (617) 965-1321 · Fax (617) 965-2412
Phone(617) 965-1321
Fax(617) 965-2412
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154437408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · MA 17814
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.
1001 WATERTOWN ST., West Newton, MA 02465
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Other Identifiers 1

OtherMA 17814MA · Dental Lic#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique D. Rousson 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 02465 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.

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 Dominique Rousson's NPI number?

The NPI number for Dominique Rousson is 1154437408. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Dominique Rousson located?

Dominique Rousson practices at 1001 Watertown St., West Newton, MA 02465. The listed phone number is (617) 965-1321.

What is Dominique Rousson's specialty?

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

Is Dominique Rousson enrolled in Medicare?

Yes. Dominique Rousson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Rousson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.