Organization Active NPI

Gamache Orthodontics, PLLC

  • Preferred Provider Organization
  • Yakima, WA
National Provider Identifier
1619320785
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DE60334963 Issued in WA
Legal business name
GAMACHE ORTHODONTICS, PLLC
Practice address
4114 W Nob Hill Blvd
Yakima, WA 98908-3900
Phone
(509) 965-4114
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Mrs. Shawna Gamache
Title
Office Manager
Phone
(509) 965-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DE60334963 WA Primary

Addresses

Primary practice location

4114 W Nob Hill Blvd
Yakima, WA 98908-3900

Mailing address

4114 W Nob Hill Blvd
Yakima, WA 98908-3900
Phone (509) 965-4114

National Provider Directory

National Provider Directory

Locations

4114 W Nob Hill Blvd
Yakima, WA 98908
Phone (509) 972-4000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1619320785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083900",
            "telephone_number": "509-965-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 W NOB HILL BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083900",
            "telephone_number": "509-965-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMACHE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "GAMACHE",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-965-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "DE60334963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.