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DR. KATIE-ROSE RADIN WAGNER DDS
NPI 1760793087
Dentist in Somerville, MA

Active since July 01, 2010PECOS Enrolled
6 KENSINGTON AVE, SOMERVILLE, MA 02145(617) 623-2100 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Katie-rose Radin Wagner Dds NPPES

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

DR. KATIE-ROSE RADIN WAGNER DDS (NPI 1760793087) is an individual dentist in Somerville, Massachusetts, licensed in Massachusetts (DN1855704) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760793087
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KATIE-ROSE RADIN WAGNERCredential: DDS
Location Address6 KENSINGTON AVESomerville, MA 02145-2107
Mailing Address6 Kensington AveSomerville, MA 02145-2107 · (617) 623-2100
Phone(617) 623-2100
Sole ProprietorYes
Enumeration DateJuly 1, 2010
Last NPPES UpdateMarch 19, 2012
✔ NPI 1760793087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · DN1855704
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.
6 KENSINGTON AVE, Somerville, MA 02145
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Other Identifiers 1

Medicaid110067489AMA

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)

Dr. Katie-rose Radin Wagner 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 02145 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.

SMILES BY ROSIE, INC.
Dentist (General Practice)
6 KENSINGTON AVE
SOMERVILLE, MA 02145
Middlesex County (617) 623-2100
SMILES BY ROSIE VACCINATION CLINIC
General Practice
6 KENSINGTON AVE
SOMERVILLE, MA 02145
Middlesex County (617) 684-5058

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 Katie-rose Wagner's NPI number?

The NPI number for Katie-rose Wagner is 1760793087. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Katie-rose Wagner located?

Katie-rose Wagner practices at 6 Kensington Ave, Somerville, MA 02145. The listed phone number is (617) 623-2100.

What is Katie-rose Wagner's specialty?

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

Is Katie-rose Wagner enrolled in Medicare?

Yes. Katie-rose Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Katie-rose Wagner accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Katie-rose Wagner 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 Katie-rose Wagner was last updated on March 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.