Organization Active NPI

Dr. Heather H. Gibson

  • General Practice Dentistry
  • Winchester, VA
National Provider Identifier
1164621827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7948 Issued in VA
Legal business name
DR. HEATHER H. GIBSON
Practice address
3111 Valley Ave Ste 112a
Winchester, VA 22601-2667
Phone
(540) 535-1046
Fax
(540) 535-1048
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Heather H GibsonNPI 1518164888
Title
Owner
Phone
(540) 535-1046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7948 VA Primary

Addresses

Primary practice location

3111 Valley Ave Ste 112a
Winchester, VA 22601-2667

Mailing address

3111 Valley Ave Ste 112 a
Winchester, VA 22601
Phone (540) 535-1046

National Provider Directory

National Provider Directory

Locations

3111 Valley Ave
Ste 112A
Winchester, VA 22601
Phone (540) 535-1046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164621827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 VALLEY AVE STE 112 A",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-535-1046",
            "fax_number": "540-535-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 VALLEY AVE STE 112A",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012667",
            "telephone_number": "540-535-1046",
            "fax_number": "540-535-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HEATHER H. GIBSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-535-1046",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.