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DR. SENAN SOUSSAHN DMD
NPI 1285329847
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 10, 2023PECOS Enrolled
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6889 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Senan Soussahn Dmd NPPES

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

DR. SENAN SOUSSAHN DMD (NPI 1285329847) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285329847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SENAN SOUSSAHNCredential: DMD
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address1 Kneeland StBoston, MA 02111-1527 · (617) 636-6889
Phone(617) 636-6889
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1285329847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 KNEELAND ST, Boston, MA 02111
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Other Names 1

Former Name (1)Senan Susan Dmd

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. Senan Soussahn Dmd 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.

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. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 Senan Soussahn's NPI number?

The NPI number for Senan Soussahn is 1285329847. It was assigned to this individual provider in the NPPES registry on April 10, 2023. The provider is also known as Senan Susan Dmd.

Where is Senan Soussahn located?

Senan Soussahn practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6889.

What is Senan Soussahn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Senan Soussahn enrolled in Medicare?

Yes. Senan Soussahn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Senan Soussahn was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.