DR. ELLURA REZZA MAE PEPITO D.D.S.
NPI 1730621400
Dentist - General Practice in Somerville, MA

Active since November 13, 2016
460 FOLEY ST, SOMERVILLE, MA 02145(857) 300-5779 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 28, 2019, Nov 22, 2016, Nov 13, 2016 (3 updates tracked since 2016).

About Dr. Ellura Rezza Mae Pepito D.d.s. NPPES

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

DR. ELLURA REZZA MAE PEPITO D.D.S. (NPI 1730621400) is an individual general practice provider in Somerville, Massachusetts, licensed in Massachusetts (DN1857464) and active in the NPI registry since November 2016. She maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1730621400
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELLURA REZZA MAE PEPITOCredential: D.D.S.
Location Address460 FOLEY STSomerville, MA 02145-1213
Mailing Address1621 Tremont St, Apt 2rBoston, MA 02120-1640 · (956) 624-8549
Sole ProprietorYes
Enumeration DateNovember 13, 2016
Last NPPES UpdateFebruary 28, 20193 updates tracked since enumeration
NPI 1730621400 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 · DN1857464
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.
460 FOLEY ST, Somerville, MA 02145

Secondary Practice Location 1

Location 130 Prospect StCambridge, MA 02139-2401 · Phone (617) 576-5300 · Fax (617) 576-5500

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Prosthodontics)
460 FOLEY ST
SOMERVILLE, MA 02145
Dentist (Prosthodontics)
460 FOLEY ST
SOMERVILLE, MA 02145

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 Ellura Pepito's NPI number?

The NPI number for Ellura Pepito is 1730621400. It was assigned to this individual provider in the NPPES registry on November 13, 2016.

Where is Ellura Pepito located?

Ellura Pepito practices at 460 Foley St, Somerville, MA 02145. The listed phone number is (857) 300-5779.

What is Ellura Pepito's specialty?

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

What insurance does Ellura Pepito accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Ellura Pepito as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellura Pepito was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.