Active NPI
Jonathan David Gibbs, D.D.S.
- General Practice Dentistry
- Chattanooga, TN
National Provider Identifier
1386717874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8328
- Practice address
- 7611 Hamilton Park Dr
Chattanooga, TN 37421-1125 - Phone
- (423) 894-9179
- NPI assigned
- Nov 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48455 | CA | |
| General Practice Dentistry | 1223G0001X | 8328 | TN | Primary |
Addresses
Primary practice location
7611 Hamilton Park Dr
Chattanooga, TN 37421-1125
Mailing address
7611 Hamilton Park Dr
Chattanooga, TN 37421-1125
Phone (423) 894-9179
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48455 | CA | MD | Dentist |
| 8328 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Dentures & Implants - Chattanooga II, P.C. | General Practice | Current | Accepting new patients |
| Dental Associates of Cleveland | Past | Accepting new patients | |
| Prasan Mohansinh Parmar DDS, Inc. | Past | Accepting new patients |
Locations
7611 Hamilton Park Dr
Chattanooga, TN 37421
Phone (423) 894-9179
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Cleveland, TN
- NPI 1215569587
-
dba Affordable Dentures & Implants - Chattanooga
- General Practice Dentistry
- Chattanooga, TN
- NPI 1275340648
-
- Dental Clinic/Center
- Santa Maria, CA
- NPI 1144545971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1386717874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 HAMILTON PARK DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211125",
"telephone_number": "423-894-9179",
"fax_number": "423-894-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 HAMILTON PARK DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211125",
"telephone_number": "423-894-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48455",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.