Organization Active NPI

Gibbons Chiropractic, Inc

Doing business as Advanced Chiropractic Center

  • Chiropractor
  • Citrus Heights, CA
National Provider Identifier
1437473758
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31141 Issued in CA
Legal business name
GIBBONS CHIROPRACTIC, INC
Doing business as
Advanced Chiropractic Center
Practice address
6035 Greenback LN
Citrus Heights, CA 95621-4740
Phone
(916) 580-3277
Fax
(916) 307-5166
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Dr. Derek P Gibbons, D.C.
Title
President
Phone
(916) 580-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 31141 CA Primary

Addresses

Primary practice location

6035 Greenback LN
Citrus Heights, CA 95621-4740

Mailing address

6035 Greenback LN
Citrus Heights, CA 95621-4740
Phone (916) 580-3277

Other names 1

  • Advanced Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

6035 Greenback Ln
Citrus Hts, CA 95621
Phone (916) 580-3277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1437473758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 GREENBACK LN",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214740",
            "telephone_number": "916-580-3277",
            "fax_number": "916-307-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 GREENBACK LN",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214740",
            "telephone_number": "916-580-3277",
            "fax_number": "916-307-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-580-3277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.