Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JON SHUSTERMAN DMD
NPI 1649252487
Dentist - Pediatric Dentistry in Needham, MA

Active since November 17, 2005PECOS Enrolled
87 CHESTNUT ST, NEEDHAM, MA 02492(781) 444-6650(781) 444-3607 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jon Shusterman Dmd NPPES

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

JON SHUSTERMAN DMD (NPI 1649252487) is an individual pediatric dentistry provider in Needham, Massachusetts, licensed in Massachusetts (20713) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649252487
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJON SHUSTERMANCredential: DMD
Location Address87 CHESTNUT STNeedham, MA 02492-2578
Mailing Address87 Chestnut StNeedham, MA 02492-2578 · (781) 444-6650 · Fax (781) 444-3607
Fax(781) 444-3607
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1649252487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MA · 20713
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

87 CHESTNUT ST, Needham, MA 02492

Accepted 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)

Jon Shusterman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02492 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.

Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (Orthodontics and Dentofacial Orthopedics)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (Orthodontics and Dentofacial Orthopedics)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (Pediatric Dentistry)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Dentist (General Practice)
87 CHESTNUT ST
NEEDHAM, MA 02492
Family Medicine
87 CHESTNUT ST
NEEDHAM, MA 02492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649252487, enumerated as an "individual" on November 17, 2005.

The provider is located at 87 CHESTNUT ST NEEDHAM, MA 02492 and the phone number is (781) 444-6650.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to verify.