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DR. BROCK RIEDEL DMD
NPI 1750010542
Dentist in Waltham, MA

Active since June 07, 2022PECOS Enrolled
862 LEXINGTON ST, WALTHAM, MA 02452(781) 684-9714 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 2, 2022, Jun 7, 2022 (2 updates tracked since 2022).

About Dr. Brock Riedel Dmd NPPES

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

DR. BROCK RIEDEL DMD (NPI 1750010542) is an individual dentist in Waltham, Massachusetts, licensed in Massachusetts (DN1859503) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750010542
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BROCK RIEDELCredential: DMD
Location Address862 LEXINGTON STWaltham, MA 02452-4849
Mailing Address55 West 5th, Apt 605Boston, MA 02127 · (785) 320-1841
Phone(781) 684-9714
Sole ProprietorYes
Enumeration DateJune 7, 2022
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1750010542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1859503
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
862 LEXINGTON ST, Waltham, MA 02452
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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, BEST Life 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)

Dr. Brock Riedel 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 02452 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 2

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

DR. ROBERT WILLIAM ANDERSON JR. DMD
Dentist
862 LEXINGTON ST
WALTHAM, MA 02452
Middlesex County (781) 684-9714
WALTHAM MODERN DENTISTRY, PC
Dentist
862 LEXINGTON ST
WALTHAM, MA 02452
Middlesex County (781) 684-9714

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 Brock Riedel's NPI number?

The NPI number for Brock Riedel is 1750010542. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Brock Riedel located?

Brock Riedel practices at 862 Lexington St, Waltham, MA 02452. The listed phone number is (781) 684-9714.

What is Brock Riedel's specialty?

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

Is Brock Riedel enrolled in Medicare?

Yes. Brock Riedel is registered in the Medicare PECOS enrollment system.

What insurance does Brock Riedel 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 7 other insurers list Brock Riedel 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 Brock Riedel was last updated on August 2, 2022. 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.