Active NPI
Jill Wheeler Gibson, D.C.
- Chiropractor
- Swampscott, MA
National Provider Identifier
1003967001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3093
- Practice address
- 70 New Ocean St
Swampscott, MA 01907-1831 - Phone
- (781) 581-7300
- Fax
- (781) 581-1190
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3093 | MA | Primary |
Addresses
Primary practice location
70 New Ocean St
Swampscott, MA 01907-1831
Mailing address
6 Winslow Rd
Beverly, MA 01915
Phone (978) 304-9928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3093 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003967001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WINSLOW RD",
"city": "BEVERLY",
"state": "MA",
"postal_code": "01915",
"telephone_number": "978-304-9928",
"fax_number": "978-969-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NEW OCEAN ST",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "019071831",
"telephone_number": "781-581-7300",
"fax_number": "781-581-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JILL",
"middle_name": "WHEELER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.