Glenn E. Gibson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33091 Issued in CA

Legal business name

GLENN E. GIBSON, DDS

Practice address

885 Canarios CT
204
Chula Vista, CA 91910-7877

Phone

(619) 216-9900

Fax

(619) 216-9461

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Glenn E Gibson, DDSNPI 1144381427

Title

Owner

Phone

(619) 216-9900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Glenn Edward Gibson, DDS

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1144381427
  NPD (past) Authorized official
• Anthony Anh Le, DDS

  • General Practice Dentistry
  • Chula Vista, CA
  • NPI 1386297976
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1386882215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "204",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-216-9900",
            "fax_number": "619-216-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT",
            "address_2": "204",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-216-9900",
            "fax_number": "619-216-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN E. GIBSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-216-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Joan Glaser
• Eric Edward Glass, MD
• Marga Glasser, M.D.
• Claire Sophia Glattly, D.P.T.
• Alexa Sofia Glaza
• Jerome Norman Glincosky, PAC
• Global Medevac Rescue Inc
• David Gloria
• Harvey Go
• Shahin Godarz

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.