1. Home
  2. Directory
  3. Massachusetts
  4. Roxbury
  5. Dentist
  6. NPI Profile

CAROLINA PERDOMO RUIZ DDS
NPI 1669822078
Dentist - General Practice in Roxbury, MA

Active since June 16, 2016PECOS Enrolled
55 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 442-4088 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2016, Jun 16, 2016 (2 updates tracked since 2016).

About Carolina Perdomo Ruiz Dds NPPES

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

CAROLINA PERDOMO RUIZ DDS (NPI 1669822078) is an individual general practice provider in Roxbury, Massachusetts, licensed in Massachusetts (DL12910) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669822078
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameCAROLINA PERDOMO RUIZCredential: DDS
Location Address55 DIMOCK STRoxbury, MA 02119-1029
Mailing Address55 Dimock StRoxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 442-4088
Phone(617) 442-8800
Fax(617) 442-4088
Sole ProprietorNo
Enumeration DateJune 16, 2016
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
✔ NPI 1669822078 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 · DL12910
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.
55 DIMOCK ST, Roxbury, MA 02119
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Perdomo Ruiz Dds 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.

DR. BELA ROSA BASHAR MD
Internal Medicine (Infectious Disease)
55 DIMOCK ST, DIMOCK COMMUNITY HEALTH CENTER
ROXBURY, MA 02119
Suffolk County (617) 442-8800
MS. GILLIAN ERICA HELFMAN
Speech-Language Pathologist
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DIMOCK COMMUNITY HEALTH CENTER, INC
Pharmacy (Community/Retail Pharmacy)
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 989-1022
IVELISSE VAZQUEZ MSW, LCSW
Social Worker (Clinical)
55 DIMOCK ST, ROOM 266A
ROXBURY, MA 02119
Suffolk County (617) 442-8800
MS. JESSICA LEE PATNODE LCSW
Social Worker
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
MISS LISA DUPREE STUDENT
Student in an Organized Health Care Education/Training Program
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DEBORAH C FANARA-VIASUS
Occupational Therapist (Pediatrics)
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
CANDI MOORE RDH
Dental Hygienist
55 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800

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 Carolina Perdomo Ruiz's NPI number?

The NPI number for Carolina Perdomo Ruiz is 1669822078. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Carolina Perdomo Ruiz located?

Carolina Perdomo Ruiz practices at 55 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Carolina Perdomo Ruiz's specialty?

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

Is Carolina Perdomo Ruiz enrolled in Medicare?

Yes. Carolina Perdomo Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolina Perdomo Ruiz was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.