Active NPI
Jerry Leon Gribble, BA MPH DDS
- Dentist
- Whitney, TX
National Provider Identifier
1295878510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7831
- Practice address
- 10066 Lakeview CT
Wb26A
Whitney, TX 76692-5653 - Phone
- (254) 694-2355
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7831 | TX | Primary |
Addresses
Primary practice location
10066 Lakeview CT
Wb26A
Whitney, TX 76692-5653
Mailing address
10066 Lakeview CT
Wb26A
Whitney, TX 76692-5653
Phone (254) 694-2355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7831 | TX | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295878510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10066 LAKEVIEW CT",
"address_2": "WB26A",
"city": "WHITNEY",
"state": "TX",
"postal_code": "766925653",
"telephone_number": "254-694-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10066 LAKEVIEW CT",
"address_2": "WB26A",
"city": "WHITNEY",
"state": "TX",
"postal_code": "766925653",
"telephone_number": "254-694-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIBBLE",
"first_name": "JERRY",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "BA MPH DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "7831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitney, TX
- Frontier Hospitals, Inc. (Lake Whitney Medical Center)
- Gates of Hope
- Courtney Faye Glaesmann
- Jordan Gobert
- Goodall-Witcher Hospital Authority (Lake Whitney Medical Clinic)
- Healthnow Urgent Care Inc
- Randall Dale Henderson, DO
- Kaci L Henson
- Hospice of the Heart, Inc.
- Integrityrx Group LLC (Eubank Drug)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.