Pamela A Gibson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

11244 Issued in CT

Practice address

10 John St
Southport, CT 06890-1437

Phone

(203) 255-5142

Fax

(203) 259-5954

NPI assigned

Mar 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Pamela Karkut Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Cpdental, PLLC

  • General Practice Dentistry
  • Southport, CT
  • NPI 1568013001
  NPD Authorized official
• Imperial Dental Assoc., PC

  • General Practice Dentistry
  • Westport, CT
  • NPI 1669795381
  NPD (past)
• Salvatore M Pizzino & Associates

  • General Practice Dentistry
  • Southport, CT
  • NPI 1568583599
  NPD (past)

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1497098206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JOHN ST",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901437",
            "telephone_number": "203-255-5142",
            "fax_number": "203-259-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JOHN ST",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901437",
            "telephone_number": "203-255-5142",
            "fax_number": "203-259-5954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 hospital avenue",
            "address_purpose": "LOCATION",
            "city": "danbury",
            "state": "CT",
            "postal_code": "06810",
            "country_code": "US",
            "telephone_number": "203-435-1751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Imperial Avenue",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "06880",
            "country_code": "US",
            "telephone_number": "203-227-2520",
            "fax_number": "203-454-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "KARKUT",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Folger, AUD
• Peggy-Sue K Forster, LMFT
• Mariana Fraga-Zapf, LCSW
• Christina Gangi
• Lorraine Garland, LPCA
• Valerie Ann Giglio, MA
• Karen E. Giunta, LMFT
• John Gleason Jr.
• Stacey Michelle Gordon, LMFT
• Susan Goughary, M.S., L.AC., L.M.T.

• Dentist in Southport, CT
• Providers in Southport, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.