NPIMap

Organization Active NPI

Gary R. Archambault, D.M.D., P.C.

  • General Practice Dentistry
  • West Springfield, MA
National Provider Identifier
1225201627
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14342 Issued in MA
Legal business name
GARY R. ARCHAMBAULT, D.M.D., P.C.
Practice address
1284 Elm St
Suite 1
West Springfield, MA 01089-1847
Phone
(413) 737-6387
Fax
(413) 746-4151
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Gary R Archambault, D.M.D.
Title
Dentist/Owner
Phone
(413) 737-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14342 MA Primary

Addresses

Primary practice location

1284 Elm St
Suite 1
West Springfield, MA 01089-1847

Mailing address

1284 Elm St
Suite 1
West Springfield, MA 01089-1847
Phone (413) 737-6387

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1225201627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 ELM ST",
            "address_2": "SUITE 1",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891847",
            "telephone_number": "413-737-6387",
            "fax_number": "413-746-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 ELM ST",
            "address_2": "SUITE 1",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891847",
            "telephone_number": "413-737-6387",
            "fax_number": "413-746-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R. ARCHAMBAULT, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "ARCHAMBAULT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "413-737-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.