Thomas W Gibbs, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12006707A Issued in IN

Practice address

857 Auto Mall Rd
Bloomington, IN 47440-5447

Phone

(812) 332-2204

Fax

(812) 332-9095

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloomington Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bloomington, IN
  • NPI 1841505252
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497798136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 AUTO MALL RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474405447",
            "telephone_number": "812-332-2204",
            "fax_number": "812-332-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 AUTO MALL RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474405447",
            "telephone_number": "812-332-2204",
            "fax_number": "812-332-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12006707A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000325306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gerth, BS
• Gary Lee Gettelfinger, M.D.
• Edward Allen Getts Jr., PT
• Rija Zehra Ghazanfar, MD
• Prodyot Ghosh, M.D.
• Leah Giberson, OD
• Tamara Lynn Gierke, DDS
• Cameron Douglas Gifford, MD
• Gigi P Stowe PHD Psychological Services LLC
• Kalina Gilbert

• Oral and Maxillofacial Surgery (Dentist) in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.