Individual provider

Ksenia Sundukova, DMD

Student in an Organized Health Care Education/Training Program General Practice Dentistry

Ksenia Sundukova, DMD is a provider specialising in General Practice Dentistry in Somerville, MA, registered under NPI 1891495164. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 30 COLLEGE AVE, Somerville, MA 02144. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

30 COLLEGE AVE, Somerville, MA 02144 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DN1860063 MA General Practice Dentistry primary

This provider holds licence DN1860063 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What General Practice covers

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. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program
1223G0001X General Practice Dentistry General Practice DN1860063 MA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1891495164 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 6, 2023
Last updatedJun 4, 2024
StatusActive
Sole proprietorNo
GenderFemale
CredentialDMD
Practice address 30 COLLEGE AVE
Somerville, MA 02144
(617) 764-2247
Mailing address 100 STOCKTON ST APT 201
Chelsea, MA 02150
This record was updated on Jun 4, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1891495164 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 9 1 4 9 5 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 9 1 8 9 1 1 3

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1891495164?
NPI 1891495164 is the National Provider Identifier assigned to Ksenia Sundukova, DMD in Somerville, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Ksenia Sundukova, DMD?
The phone number on file with NPPES is (617) 764-2247, last updated Jun 4, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1891495164 a valid number?
Yes. 1891495164 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.