Individual provider Active NPI

Kimberly Gibas, DC

  • Chiropractor
  • South Barrington, IL
National Provider Identifier
1003022187
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11-3748810 Issued in IL
Practice address
33 W Higgins Rd
Suite 620
South Barrington, IL 60010-9115
Phone
(847) 426-7008
Fax
(847) 426-7221
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11-3748810 IL Primary

Addresses

Primary practice location

33 W Higgins Rd
Suite 620
South Barrington, IL 60010-9115

Mailing address

33 W Higgins Rd
Suite 620
South Barrington, IL 60010-9115
Phone (847) 426-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000073 IL Practitioner - Chiropractic 1355361767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 W Higgins Rd
Suite 520
South Barrington, IL 60010-9388
Phone (847) 426-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1003022187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD",
            "address_2": "SUITE 620",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109115",
            "telephone_number": "847-426-7008",
            "fax_number": "847-426-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W HIGGINS RD",
            "address_2": "SUITE 620",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109115",
            "telephone_number": "847-426-7008",
            "fax_number": "847-426-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBAS",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "11-3748810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.