Anissa Derrouche, DMD
NPI 1386851996 · Dentist · Charlestown, MA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anissa Derrouche, DMD is a Dentist provider in Charlestown, MA (NPI 1386851996).
Provider details
- NPI number
- 1386851996
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 20671 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Frequently asked questions
- What is Anissa Derrouche's NPI number?
- Anissa Derrouche's National Provider Identifier (NPI) is 1386851996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anissa Derrouche's specialty?
- Anissa Derrouche is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Anissa Derrouche located?
- Anissa Derrouche's practice location on file with NPPES is 529 Main St Ste 209, Charlestown, MA 02129-1135.
- What is Anissa Derrouche's phone number?
- The practice phone number listed in the NPPES registry for Anissa Derrouche is (617) 241-9220.
- Does Anissa Derrouche accept Medicare?
- Anissa Derrouche is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anissa Derrouche's NPI active?
- Yes — Anissa Derrouche's NPI (1386851996) is active in the NPPES registry as of the last update on 2024-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.