Lisa Campagna Gamache, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18214 Issued in MA

Practice address

77 Elm St
Pittsfield, MA 01201-6503

Phone

(413) 442-0122

NPI assigned

Jul 18, 2006

Last updated

Mar 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Berkshire Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Pittsfield, MA
  • NPI 1669641957
  NPD (past) Authorized official
• Berkshire Pediatric Dentistry Specialists, PC

  dba Berkshire Pediatric Dentistry

  • Pediatric Dentistry
  • Pittsfield, MA
  • NPI 1326887357
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1619995537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016503",
            "telephone_number": "413-442-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016503",
            "telephone_number": "413-442-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "LISA",
        "middle_name": "CAMPAGNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "18214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Gallagher Harmon
• Samuel Galligan
• Lanie Galman, MD
• Stephanie Galt
• Christian R Galvez-Padilla, M.D.
• Paul J . R. Gamache, DMD
• Rebecca M Gamache, FNP
• Nicole Marie Gamberoni
• Dari Gambino-Kendig
• Adriene Gambles

• Pediatric Dentistry in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.