NPIMap

Organization Active NPI

Gibson Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, AL
National Provider Identifier
1194486522
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GIBSON ORTHODONTICS LLC
Practice address
581 Hughes Rd
Madison, AL 35758-8979
Phone
(256) 772-0041
NPI assigned
Jan 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Dr. Matthew Gibson, DMDNPI 1508271495
Title
Managing Member
Phone
(256) 797-6135

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

581 Hughes Rd
Madison, AL 35758-8979

Mailing address

581 Hughes Rd
Madison, AL 35758-8979
Phone (256) 772-0041

Other practice location 1

607 E Hobbs St
Athens, AL 35611-2150
Phone (256) 213-0756

Other names 1

  • Gibson Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

607 E Hobbs St
Athens, AL 35611
Phone (256) 213-0756

581 Hughes Rd
Madison, AL 35758
Phone (256) 772-0041

Practitioners & affiliated clinicians

Practitioners 2

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": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1194486522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588979",
            "telephone_number": "256-772-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588979",
            "telephone_number": "256-772-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 E Hobbs St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112150",
            "country_code": "US",
            "telephone_number": "256-213-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIBSON ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "256-797-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gibson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.