Junius Nephi Gibbons, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2704 Issued in AZ

Practice address

3333 E Baseline Rd
Gilbert, AZ 85234-2633

Phone

(480) 892-9190

Fax

(480) 545-9671

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2015 through Sep 23, 2027

Medicare enrollment (NPD)

Not 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.

• Junius N. Gibbons DDS, PC

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1962674192
  NPD (past) Authorized official
• Gibbons Dental Associates LLC

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1730721416
  NPD (past)
• Midwestern University

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1164744009
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-892-9190",
            "fax_number": "480-545-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-892-9190",
            "fax_number": "480-545-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "JUNIUS",
        "middle_name": "NEPHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Brendon Gibb, DC
• Ryan Gibb, M.D.
• Gibbons Dental Associates LLC
• Daniel Jared Gibbons, DDS
• David Junius Gibbons, D.D.S.
• Melissa Gibbons, ND, MSM
• Cori Gibson
• Hanna Gibson
• Jennie Gibson, OTR/L, CSRS, CNS
• Tianna Gibson

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.