Lisa M Burnett, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

0495231 Issued in NY

Practice address

750 Dick Road
Dr Gambacorta and Dental Associates
Cheektowaga, NY 14225-3848

Phone

(716) 684-8882

Fax

(716) 651-0110

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215051461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 DICK ROAD",
            "address_2": "DR GAMBACORTA AND DENTAL ASSOCIATES",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253848",
            "telephone_number": "716-684-8882",
            "fax_number": "716-651-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 DICK ROAD",
            "address_2": "DR GAMBACORTA AND DENTAL ASSOCIATES",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253848",
            "telephone_number": "716-684-8882",
            "fax_number": "716-651-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0495231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis M Bunz
• Isabel Nadia Buonopane, M.ED, CCC-SLP
• Kelly Ann Burch, D.D.S.
• Gretchen S Burden
• Barbara Burgin
• Christa R Burns, D.C., B.SC.
• Ramona M Burse, LMT
• Cassandra M Busch, NP
• John M Bush, PT
• Jonathan C Bush

• Dentist in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.