SUSANA TEJADA (NPI# 1003118225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003118225 |
| Entity Type | Individual |
| Full Name | SUSANA TEJADA |
| Credential | D.M.D. |
| Practice Address |
45 Dimock St Roxbury MA 02119-1208 |
| Mailing Address |
379a Centre St Jamaica Plain MA 02130-1241 |
| Practice Telephone | 6174428800 |
| Practice Fax Number | 6174424088 |
| Mailing Telephone | 6175534838 |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1855592 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 379a Centre St, Jamaica Plain, MA 021301241 | 6175534838 |
| Street Address |
45 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813856 | Debra Jean Reid | Pharmacist | 45 Dimock St, Roxbury, MA 02119-1208 | 2005-09-27 |
| 1063022028 | Hoda Hamed | Optometrist | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-08-05 |
| 1790394096 | Jonathan Foster-moore | Nurse Practitioner | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-23 |
| 1730797077 | Kristie Michelle Grimes-mallard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-22 |
| 1558987859 | Dina Cabrejos Arauco | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-23 |
| 1104440908 | Joelle Sulistio | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-08 |
| 1346883980 | Kristen Monique Beard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-10-27 |
| 1639731649 | Alyssa Meltzer | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-07-01 |
| 1184283012 | Claudia Rizzo | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-13 |
| 1740849959 | Sabiha Zaman | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568623841 | Lue Dee Jackson Jr. | Dentist | 386 A-b Warren Street, Roxbury, MA 02119 | 2008-06-19 |
| 1629241872 | Rena Yvonne Small | Dentist | 386 Warren St, Roxbury, MA 02119-1830 | 2008-04-09 |
| 1225207517 | Dental Dreams, LLC | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2008-02-21 |
| 1922154301 | Suresh K Naidu | Dentist | 156 Dudley St, Roxbury, MA 02119 | 2007-01-26 |
| 1376629659 | Li Wang | Dentist | 2181 Washington St, Suite 101, Roxbury, MA 02119-2082 | 2006-10-28 |
| 1740822964 | Bhuvan Shome Venigalla | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2019-10-09 |
| 1295393528 | Evelyn Jin | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2019-06-01 |
| 1891350419 | Nael Sayegh | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-05-08 |
| 1710443171 | Rachel Horwitz | Dentist | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-02-11 |
| 1013483106 | Zohaib Ahmed | Dentist | 45 Dimock St, Roxbury, MA 02119-1208 | 2018-10-17 |
| Find all providers in ROXBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.