Active NPI
Rise A. Gibson, RDH
- Dental Hygienist
- Marietta, OH
National Provider Identifier
1073998944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 31-003462
- Practice address
- 342 Muskingum Drive
Marietta, OH 45750 - Phone
- (740) 374-2782
- Fax
- (740) 376-7074
- NPI assigned
- Jul 21, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 31-003462 | OH | Primary |
Addresses
Primary practice location
342 Muskingum Drive
Marietta, OH 45750
Mailing address
36320 County Highway 122
Barnesville, OH 43713
Phone (740) 425-3390
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31-003462 | OH | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Co | 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.
-
- Public Health or Welfare Agency
- Marietta, OH
- NPI 1093774242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1073998944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36320 COUNTY HIGHWAY 122",
"city": "BARNESVILLE",
"state": "OH",
"postal_code": "43713",
"telephone_number": "740-425-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 MUSKINGUM DRIVE",
"city": "MARIETTA",
"state": "OH",
"postal_code": "45750",
"telephone_number": "740-374-2782",
"fax_number": "740-376-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "RISE",
"middle_name": "A.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OH",
"license": "31-003462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.