Active NPI
Andrew Nathan Gibson, D.C.
- Chiropractor
- Du Bois, PA
National Provider Identifier
1366764607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010187
- Practice address
- 23 Beaver Dr
Du Bois, PA 15801-2443 - Phone
- (814) 371-7412
- Fax
- (814) 371-7413
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010187 | PA | Primary |
Addresses
Primary practice location
23 Beaver Dr
Du Bois, PA 15801-2443
Mailing address
605 Cambria Dr
Clearfield, PA 16830-4007
Phone (814) 553-9496
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1366764607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 CAMBRIA DR",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168304007",
"telephone_number": "814-553-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BEAVER DR",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012443",
"telephone_number": "814-371-7412",
"fax_number": "814-371-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ANDREW",
"middle_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.