Active NPI
Robert Douglas Gibson, DC
- Chiropractor
- Conifer, CO
National Provider Identifier
1386749406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3874
- Practice address
- 12424 Big Timber Dr
Unit 4
Conifer, CO 80433-6410 - Phone
- (303) 838-8443
- Fax
- (304) 838-7794
- NPI assigned
- Sep 13, 2006
- Last updated
- Jun 9, 2009
- 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 | 3874 | CO | Primary |
Addresses
Primary practice location
12424 Big Timber Dr
Unit 4
Conifer, CO 80433-6410
Mailing address
12424 Big Timber Dr
Unit 4
Conifer, CO 80433-6410
Phone (303) 838-8443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10903 US Hwy 285
Suite E203
Conifer, CO 80433-7723
Phone (303) 838-8443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Park Chiropractic & Massage Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Conifer, CO
- NPI 1265905418
-
- Chiropractor
- Conifer, CO
- NPI 1952699761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1386749406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12424 BIG TIMBER DR",
"address_2": "UNIT 4",
"city": "CONIFER",
"state": "CO",
"postal_code": "804336410",
"telephone_number": "303-838-8443",
"fax_number": "304-838-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12424 BIG TIMBER DR",
"address_2": "UNIT 4",
"city": "CONIFER",
"state": "CO",
"postal_code": "804336410",
"telephone_number": "303-838-8443",
"fax_number": "304-838-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.