Individual provider Active NPI

Hugo Michael Gibson, D.C.

  • Chiropractor
  • Havre, MT
National Provider Identifier
1205093572
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1225 Issued in MT
Practice address
230 1St St
Havre, MT 59501-3504
Phone
(406) 945-7890
NPI assigned
May 22, 2008
Last updated
Jan 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1225 MT Primary

Addresses

Primary practice location

230 1St St
Havre, MT 59501-3504

Mailing address

230 1St St
Havre, MT 59501
Phone (406) 945-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000728 MT Practitioner - Chiropractic 0345214003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

230 1St St
Havre, MT 59501-3504
Phone (406) 945-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1225MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Chiropractic, Inc. Chiropractor CurrentSince Sep 24, 2013 Accepting new patients
Hugo V Gibson DC, PC Chiropractor Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Klapp Chiropractic Life Center, LLC Chiropractor PastSince Jun 21, 2016 Accepting new patients

Locations

230 1st St
Havre, MT 59501
Phone (406) 945-7890

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1205093572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 1ST ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-945-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 1ST ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013504",
            "telephone_number": "406-945-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "HUGO",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.