Roger Dale Gibbs, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3100 Issued in AL

Practice address

711 E 10TH St
Ste D
Anniston, AL 36207-4776

Phone

(256) 237-3529

Fax

(256) 237-3535

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396825170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E 10TH ST",
            "address_2": "STE D",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074776",
            "telephone_number": "256-237-3529",
            "fax_number": "256-237-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E 10TH ST",
            "address_2": "STE D",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074776",
            "telephone_number": "256-237-3529",
            "fax_number": "256-237-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ROGER",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gem Footcare Solutions, LLC
• George I Crawford Jr MD PC
• Christopher Austin George, MSN, ACNPC-AG, CRNP
• Deanna Emily Gerowski, FNP-C
• George Marshall Gibbins, MD
• Gibson Family Dentistry LLC
• David Burton Gibson, D.M.D.
• Morgan Duffy Gibson, D.M.D.
• Ashley Nabors Gilchrist, CRNP
• Jascelynne Gilley

• General Practice Dentistry in Anniston, AL
• Providers in Anniston, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.