James Michael Gibbs, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4706 Issued in MN

Practice address

501 4TH St S
Princeton, MN 55371-2031

Phone

(763) 389-4411

Fax

(763) 389-4412

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Princeton Chiropractic Clinic LLC

  • Medical Specialty Clinic/Center
  • Princeton, MN
  • NPI 1831409234
  Medicare reassignment NPD Authorized official
• Princeton Chiropractic Office PA

  • Chiropractor
  • Princeton, MN
  • NPI 1861564130
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164594404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 4TH ST S",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712031",
            "telephone_number": "763-389-4411",
            "fax_number": "763-389-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 4TH ST S",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712031",
            "telephone_number": "763-389-4411",
            "fax_number": "763-389-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americo D Fraboni, MD
• Susan Marie Fraboni, RCP
• Rita Franzoi, PHARMD
• Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care Rum River)
• Ara C. Gerard, O.D.
• Michael Robert Gibbs, DC
• Kathryn Girtz, M.S.-CCC-SLP
• Glasswing Counseling and Wellness, LLC (GlassWing Counseling)
• Sara Jesse Gleason, DPT, PT
• Kaitlyn Gohman, MS, CCC-SLP

• Chiropractor in Princeton, MN
• Providers in Princeton, MN by specialty
• Chiropractor in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.