Daniel James Gibbons, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY1769 Issued in FL

Practice address

72700 Dinah Shore Dr Ste 200
Palm Desert, CA 92211-0859

Phone

(909) 825-7084

NPI assigned

Oct 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Acute Hearing and Balance LLC

  • Specialist
  • Wilton Manors, FL
  • NPI 1902359334
  NPD Authorized official
• Florida ENT Associates, Inc.

  • Otolaryngology Physician
  • West Miami, FL
  • NPI 1184625733
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1174877294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69555 CYPRESS RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347508",
            "telephone_number": "786-503-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72700 DINAH SHORE DR STE 200",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110859",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1769",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174877294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesiscare USA of California a Medical Corporation
• Naomi George
• Maret Geragosian
• Deeann Gerken, MSN NPC
• Brianna Gibbons
• Betty Anna Gidlof, RDHAP.#451
• Mirtha I Gil Rondon
• Andrew Gil, DPT
• Rachel Gileno, LMFT
• Brent Gilliard

• Audiologist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.