Individual provider Active NPI

Luke A. Gibson, D.C.

  • Chiropractor
  • Morrisville, NC
National Provider Identifier
1386910297
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4211 Issued in NC
Practice address
101 Lattner Court
Suite 301
Morrisville, NC 27560-7012
Phone
(919) 757-4410
Fax
(919) 757-4410
NPI assigned
Mar 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4211 NC Primary

Addresses

Primary practice location

101 Lattner Court
Suite 301
Morrisville, NC 27560-7012

Mailing address

101 Lattner Court
Suite 301
Morrisville, NC 27560-7012
Phone (919) 757-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000188 NC Practitioner - Chiropractic 6507012317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 Slater Rd
Suite 203
Morrisville, NC 27560-5865
Phone (919) 757-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4211NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Chiropractic Center, PLLC Chiropractor CurrentSince Aug 4, 2016 Accepting new patients
Swank Chiropractic Center, P.a. Chiropractor PastSince Aug 8, 2017 Accepting new patients

Locations

703 Slater Rd
Ste 203
Morrisville, NC 27560
Phone (919) 757-4410

101 Lattner Ct
Ste 301
Morrisville, NC 27560
Phone (919) 757-4410

Interoperability endpoints

  • Direct secure messaging: luke.gibson@direct.rtpchiro.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1386910297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LATTNER COURT",
            "address_2": "SUITE 301",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607012",
            "telephone_number": "919-757-4410",
            "fax_number": "919-757-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LATTNER COURT",
            "address_2": "SUITE 301",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607012",
            "telephone_number": "919-757-4410",
            "fax_number": "919-757-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LUKE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-25",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.