Organization Active NPI

Jessica Lynn Gibbs, DDS, P.C.

  • Dental Clinic/Center
  • Glen Ellyn, IL
National Provider Identifier
1376352039
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JESSICA LYNN GIBBS, DDS, P.C.
Practice address
26 N Park Blvd
Glen Ellyn, IL 60137-5712
Phone
(630) 452-1281
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Dr. Jessica Lynn Gibbs, DDSNPI 1003255738
Title
Dentist
Phone
(630) 452-1281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

26 N Park Blvd
Glen Ellyn, IL 60137-5712

Mailing address

26 N Park Blvd
Glen Ellyn, IL 60137-5712
Phone (630) 452-1281

National Provider Directory

National Provider Directory

Locations

26 N Park Blvd
Glen Ellyn, IL 60137
Phone (630) 452-1281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1376352039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N PARK BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375712",
            "telephone_number": "630-452-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N PARK BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375712",
            "telephone_number": "630-452-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LYNN GIBBS, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-452-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.