Andrew James Gibbs, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011435 Issued in AZ

Practice address

1979 W Valencia Rd
Tucson, AZ 85746-6633

Phone

(520) 204-1211

NPI assigned

Mar 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Midvale Park Dental Partners LLC

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1669026167
  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1033704044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 PINE CT",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212134",
            "telephone_number": "303-955-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466633",
            "telephone_number": "520-204-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Ave Hostos",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007161115",
            "country_code": "US",
            "telephone_number": "787-843-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Amara Gianni, NMD
• Nathan Anthony Giauque, MD
• Mary Gibbins
• Sean Gibbons, M.D.
• Trym Helaman Gibbons, D.D.S.
• Irene Elizabeth Gibbs, MSW
• Jonathan Elijah Gibbs, MD
• Kelsey Gibbs
• J David Gibeault, MD
• Alison Giberti

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.