Quincy L Gibbs, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

63386 Issued in CA

Practice address

1111 Civic Dr
#320
Walnut Creek, CA 94596-3895

Phone

(925) 935-4040

Fax

(925) 935-4077

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 24, 2016 through May 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1063626166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CIVIC DR",
            "address_2": "#320",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963895",
            "telephone_number": "925-935-4040",
            "fax_number": "925-935-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CIVIC DR",
            "address_2": "#320",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963895",
            "telephone_number": "925-935-4040",
            "fax_number": "925-935-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "QUINCY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "63386",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NV",
            "license": "4625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Susan Giacalone, MD
• Patti Giallanzo
• Jordan Giang, D.C.
• Bonnie B Gianoli, BS, RN
• Michael A. Gibbs, MD
• Tamary Gibbs
• Veronica Gibbs, MA, PPS
• Hilary Ann Gibson, PSYD
• Kayla Alexis Gibson
• Stephen Edward Gigliotti

• Prosthodontics in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.