Lynne Gibbs, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2015026851 Issued in MO

Practice address

485 Wildwood Pkwy Ste 4
Ballwin, MO 63011-2667

Phone

(636) 345-5100

Fax

(636) 216-0346

NPI assigned

Oct 14, 2015

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logan UniversityGroup PAC ID 5698660322, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Logan University

  • Chiropractor
  • Chesterfield, MO
  • NPI 1194765941
  Medicare reassignment Care Compare group NPD
• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1285005454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 CLARKSON EXECUTIVE PARK",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112176",
            "telephone_number": "636-628-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 WILDWOOD PKWY STE 4",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112667",
            "telephone_number": "636-345-5100",
            "fax_number": "636-216-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "LYNNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015026851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erendira Elvira Garcia Guzman
• Rene Gassner, D.C.
• Gateway Little Smiles of Ballwin, LLC (Gateway Little Smiles of Ballwin)
• Seth Gerlach, D.C.
• Cole Gerstenberger, DPT
• McKenzie Gibson, RBT
• Trent Conner Gibson
• Jennifer Sharon Giltner, FNP-C
• Ashleigh Ann Glass, PA-C
• Emmalene Faith Glover, DC

• Chiropractor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.