DR. ANISSA DERROUCHE (DMD) – Dentist, NPI 1386851996
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANISSA DERROUCHE (DMD)
529 MAIN ST STE 209
CHARLESTOWN, MA 021291135
Phone: (617) 241-9220
Fax: (617) 241-4905
Type: Location
921, Massachusetts Avenue, Mid-Cambridge, Cambridge, Middlesex County, Massachusetts, 02139, United States
CAMBRIDGE, MA 021393107
Phone: (617) 492-8210
Type: Location
34;36, Charles Road, Winchester, Middlesex County, Massachusetts, 01890, United States
WINCHESTER, MA 018901113
Phone: (781) 729-2479
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-01-24 • Largest payer in this snapshot: Kerr Corporation ($23).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerr Corporation | $23 |
| Nobel Biocare USA | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-11-19
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02129)
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Reviews
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