Hollis Hunter Gibson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

11700 S Western Ave
Suite 2
Chicago, IL 60643-4757

Phone

(773) 233-4780

Fax

(773) 233-4703

NPI assigned

Sep 18, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1437345071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 S WESTERN AVE",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434757",
            "telephone_number": "773-233-4780",
            "fax_number": "773-233-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 S WESTERN AVE",
            "address_2": "SUITE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434757",
            "telephone_number": "773-233-4780",
            "fax_number": "773-233-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "HOLLIS",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Gibney, CRNA, DNP
• Evan Joseph Gibson-O'Grady, MD
• Alice Jean Gibson, LCPC
• Deanna Gibson
• Erin Nicole Gibson
• Jennifer L Gibson, PSYD
• Joy C Gibson, APRN, CNP
• Julia Gibson, MS, RD, LDN
• Lionel A Gibson, DMD
• Lydia Gibson

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.