Clifford Brendon Gibb, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7154 Issued in AZ

Practice address

1400 N Gilbert Rd
Ste M
Gilbert, AZ 85234-2482

Phone

(480) 558-0474

Fax

(480) 558-0478

NPI assigned

Jun 17, 2005

Reactivated

Apr 5, 2006

Sex

Male

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 AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Springbok Chiropractic

  • Chiropractor
  • Gilbert, AZ
  • NPI 1821268251
  Medicare reassignment NPD Authorized official
• Springbok Wellness and Rehab L.L.C.

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1073802542
  NPD (past) Authorized official

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1376548198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "address_2": "STE M",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342482",
            "telephone_number": "480-558-0474",
            "fax_number": "480-558-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "address_2": "STE M",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342482",
            "telephone_number": "480-558-0474",
            "fax_number": "480-558-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBB",
        "first_name": "CLIFFORD",
        "middle_name": "BRENDON",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2009-04-14",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jo Giali, DO
• Liza Gianetto, LPC
• Talia Meredith Giannotti, RBT
• Shea Giaquinto, MD
• Eric Giauque
• Ryan Gibb, M.D.
• Gibbons Dental Associates LLC
• Daniel Jared Gibbons, DDS
• David Junius Gibbons, D.D.S.
• Junius Nephi Gibbons, D.D.S.

• Chiropractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.