Organization Active NPI

Berkshire Prosthetic and Restorative Dentistry

  • General Practice Dentistry
  • Pittsfield, MA
National Provider Identifier
1568302008
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BERKSHIRE PROSTHETIC AND RESTORATIVE DENTISTRY
Practice address
114 Wendell Ave Apt 1
Pittsfield, MA 01201-6975
Phone
(413) 442-8684
NPI assigned
Apr 1, 2026
Organization subpart
Yes
Parent organization
BERKSHIRE PROSTHETIC AND RESTORATIVE DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Michelle Dickinson
Title
Access Manager
Phone
(413) 884-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

114 Wendell Ave Apt 1
Pittsfield, MA 01201-6975

Mailing address

114 Wendell Ave Apt 1
Pittsfield, MA 01201-6975
Phone (413) 442-8684

National Provider Directory

National Provider Directory
Tax ID family
Berkshire Prosthetic and Restorative Dentistry2 organizations share this tax ID, including this one
Part of
Berkshire Prosthetic and Restorative Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1568302008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WENDELL AVE APT 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016975",
            "telephone_number": "413-442-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WENDELL AVE APT 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016975",
            "telephone_number": "413-442-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE PROSTHETIC AND RESTORATIVE DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE PROSTHETIC AND RESTORATIVE DENTISTRY",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "413-884-4383"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.