Individual provider Active NPI

Lori V Gibbons, D.M.D

  • Dentist
  • Towson, MD
National Provider Identifier
1497087837
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14223 Issued in MD
Practice address
7402 York Rd
Suite 303
Towson, MD 21204-7532
Phone
(410) 321-1133
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14223 MD Primary

Addresses

Primary practice location

7402 York Rd
Suite 303
Towson, MD 21204-7532

Mailing address

7402 York Rd
Suite 303
Towson, MD 21204-7532
Phone (410) 321-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20151027000229 MD Order and Referring Only - DentistPractitioner - Dentist 3375852775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14233MDMDGeneral Practice Dentistry
14223MDMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1497087837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "SUITE 303",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047532",
            "telephone_number": "410-321-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "SUITE 303",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047532",
            "telephone_number": "410-321-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "LORI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.