Amanda K Gallagher, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN1855644 Issued in MA

Practice address

381 Elliot St
Suite 195 L
Newton Upper Falls, MA 02464-1157

Phone

(617) 527-0880

NPI assigned

Jun 14, 2011

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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.

• Virginia E Gavris PC

  • General Practice Dentistry
  • Newton Upper Falls, MA
  • NPI 1891865655

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1841585247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ELLIOT ST",
            "address_2": "SUITE 195 L",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641157",
            "telephone_number": "617-527-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 ELLIOT ST",
            "address_2": "SUITE 195 L",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641157",
            "telephone_number": "617-527-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "DN1855644",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "14361",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS037581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark G Fanger, ED.D.
• Viky Filippou
• Freedom Home Care Services, Inc.
• Julia Elizabeth French, DC
• Leah M. Fygetakis, PH.D.
• Elizabeth Gatti, PSY.D
• Virginia Gavris, D.M.D. MPH
• Armin Ghamari, DDS
• Lyndsay Gilson
• Abigail Haas-Hooven, BCBA

• Orthodontics and Dentofacial Orthopedics Dentistry in Newton Upper Falls, MA
• Providers in Newton Upper Falls, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.