Organization Active NPI

Hugo V Gibson DC, PC

  • Chiropractor
  • Lee's Summit, MO
National Provider Identifier
1407010184
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5440 Issued in MO
Legal business name
HUGO V GIBSON DC, PC
Practice address
1801 NW Killarney LN
Lees Summit, MO 64081-1606
Phone
(816) 525-4086
Fax
(816) 525-3103
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Hugo Vivier Gibson, DC
Title
President
Phone
(816) 525-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5440 MO Primary

Addresses

Primary practice location

1801 NW Killarney LN
Lees Summit, MO 64081-1606

Mailing address

1801 NW Killarney LN
Lees Summit, MO 64081-1606
Phone (816) 525-4086

Other identifiers 3

IdentifierTypeStateIssuer
1114069770OtherMOINDIVIDUAL NPI
13551028OtherMOBCBS PROVIDER NUMBER
35100018OtherMOBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1407010184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW KILLARNEY LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811606",
            "telephone_number": "816-525-4086",
            "fax_number": "816-525-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW KILLARNEY LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811606",
            "telephone_number": "816-525-4086",
            "fax_number": "816-525-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGO V GIBSON DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "VIVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-525-4086",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114069770",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "13551028",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "35100018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.