Paul Michael Gibas Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6912 Issued in SC

Practice address

1585 Skylyn Drive
Spartanburg, SC 29307

Phone

(864) 573-9255

Fax

(864) 585-8188

NPI assigned

Jun 12, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Skylyn Dental Associates LLC

  • Dental Clinic/Center
  • Spartanburg, SC
  • NPI 1063047165
  NPD Authorized official
• John F Dunbar Jr DMD PA

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1346418795
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396972618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SKYLYN DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-573-9255",
            "fax_number": "864-585-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SKYLYN DRIVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-573-9255",
            "fax_number": "864-585-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBAS",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "6912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8813",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parisa Ayn Ghasemi, CRNA
• Bethany Grace Ghent, NP
• Bogdan P Gheorghiu, M.D.
• John Ghrigsby
• GHS Partners in Health, Inc. (University Medical Group)
• James Emanuel Gibbs
• Carl Edward Gibson Jr., RPT
• Elaisha Gibson, BA
• Jennifer Williams Gibson, PHARMD
• Sarah Gibson

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.