NPIMap

Organization Active NPI

Gibbons Chiropractic and Acupuncture LLC

  • Chiropractor
  • Troy, OH
National Provider Identifier
1174905418
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4107 Issued in OH
Legal business name
GIBBONS CHIROPRACTIC AND ACUPUNCTURE LLC
Practice address
50 Troy Town Dr
Suite B
Troy, OH 45373-2341
Phone
(937) 703-9328
Fax
(937) 703-9329
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Derek Douglas Gibbons, D.C.
Title
Owner
Phone
(937) 703-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4107 OH Primary

Addresses

Primary practice location

50 Troy Town Dr
Suite B
Troy, OH 45373-2341

Mailing address

50 Troy Town Dr
Suite B
Troy, OH 45373-2341
Phone (937) 703-9328

National Provider Directory

National Provider Directory

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": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1174905418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TROY TOWN DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732341",
            "telephone_number": "937-703-9328",
            "fax_number": "937-703-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TROY TOWN DR",
            "address_2": "SUITE B",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732341",
            "telephone_number": "937-703-9328",
            "fax_number": "937-703-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS CHIROPRACTIC AND ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-703-9328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.