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SUSANNA MARTIROSOV
NPI 1962560516
Dentist - General Practice in Garland, TX

Active since December 05, 2006PECOS Enrolled
3325 BELT LINE RD, GARLAND, TX 75044(972) 530-1222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susanna Martirosov NPPES

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

SUSANNA MARTIROSOV (NPI 1962560516) is an individual general practice provider in Garland, Texas, licensed in Texas (20350) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962560516
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUSANNA MARTIROSOV
Location Address3325 BELT LINE RDGarland, TX 75044-6913
Mailing Address650 International Pkwy, Suite 100Richardson, TX 75081-6612 · (972) 530-1222
Phone(972) 530-1222
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962560516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 20350
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.
3325 BELT LINE RD, Garland, TX 75044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Susanna Martirosov 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 75044 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

DAVID BENESH
Dentist (Periodontics)
3325 BELT LINE RD
GARLAND, TX 75044
Dallas County (972) 530-1222
SZU WEI CHANG DDS
Dentist (General Practice)
3325 BELT LINE RD
GARLAND, TX 75044
Dallas County (972) 333-1291

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 Susanna Martirosov's NPI number?

The NPI number for Susanna Martirosov is 1962560516. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Susanna Martirosov located?

Susanna Martirosov practices at 3325 Belt Line Rd, Garland, TX 75044. The listed phone number is (972) 530-1222.

What is Susanna Martirosov's specialty?

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

Is Susanna Martirosov enrolled in Medicare?

Yes. Susanna Martirosov is registered in the Medicare PECOS enrollment system.

What insurance does Susanna Martirosov accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Humana and 1 other insurer list Susanna Martirosov 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 Susanna Martirosov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.