Individual provider Active NPI

Colin Gibson, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CO
National Provider Identifier
1063614006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8800 Issued in CO
Practice address
1333 W 120TH Ave
Suite 303
Westminster, CO 80234-2708
Phone
(303) 452-2277
Fax
(303) 452-9520
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8800 CO Primary

Addresses

Primary practice location

1333 W 120TH Ave
Suite 303
Westminster, CO 80234-2708

Mailing address

1333 W 120TH Ave
Suite 303
Westminster, CO 80234-2708
Phone (303) 452-2277

Other identifiers 1

IdentifierTypeStateIssuer
1063437937OtherCONPI TYPE 2 FOR 1ST IMPRES

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8800COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
1St Impressions Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063614006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W 120TH AVE",
            "address_2": "SUITE 303",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342708",
            "telephone_number": "303-452-2277",
            "fax_number": "303-452-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W 120TH AVE",
            "address_2": "SUITE 303",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342708",
            "telephone_number": "303-452-2277",
            "fax_number": "303-452-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 FOR 1ST IMPRES",
            "identifier": "1063437937",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

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.

Verify at the official NPI Registry.