Paul J . R. Gamache, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

18218 Issued in MA

Practice address

137 Elm St
Pittsfield, MA 01201-6556

Phone

(413) 442-8664

Fax

(413) 499-9276

NPI assigned

Jul 12, 2006

Last updated

Sep 4, 2007By the provider in NPPES

Sex

Male

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 MA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul J. R. Gamache DMD PC

  • General Practice Dentistry
  • Pittsfield, MA
  • NPI 1255500559
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1487689790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016556",
            "telephone_number": "413-442-8664",
            "fax_number": "413-499-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016556",
            "telephone_number": "413-442-8664",
            "fax_number": "413-499-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "PAUL",
        "middle_name": "J . R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "18218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Galligan
• Lanie Galman, MD
• Stephanie Galt
• Christian R Galvez-Padilla, M.D.
• Lisa Campagna Gamache, D.M.D.
• Rebecca M Gamache, FNP
• Nicole Marie Gamberoni
• Dari Gambino-Kendig
• Adriene Gambles
• Scott Garber, DC

• Dentist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.