JACQUELINE ROCHELLE HARRIS
NPI 1326613266
Dentist in Boston, MA

Q: What is Jacqueline Harris's NPI number?

The NPI number for Jacqueline Harris is 1326613266. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Q: What is Jacqueline Harris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Harris was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 24, 2021PECOS Enrolled

45 DIMOCK ST, BOSTON, MA 02119(612) 442-8800(617) 442-4088 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2021, May 24, 2021 (2 updates tracked since 2021).

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About Jacqueline Rochelle Harris NPPES

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

JACQUELINE ROCHELLE HARRIS (NPI 1326613266) is an individual dentist in Boston, Massachusetts, licensed in Massachusetts (DN1859155) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326613266

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJACQUELINE ROCHELLE HARRIS

Location Address45 DIMOCK STBoston, MA 02119-1208

Mailing Address333 Great River Rd Apt 320Somerville, MA 02145-1220 · (770) 296-0186

Phone(612) 442-8800

Fax(617) 442-4088

Sole ProprietorYes

Enumeration DateMay 24, 2021

Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration

NPPES CertifiedAugust 31, 2021

✔ NPI 1326613266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN1859155

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

45 DIMOCK ST, Boston, MA 02119

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Jacqueline Rochelle Harris 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.

SUSANA TEJADA D.M.D.

Dentist