Stephanie Danielle Gibbons, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858406 Issued in MA

Practice address

5 Dawn St
Salem, NH 03079-3231

Phone

(603) 275-9272

NPI assigned

Jun 4, 2019

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgibbons322387@direct.ochin.org

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.

• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1881692366
  Medicare reassignment NPD
• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1528626660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAWN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793231",
            "telephone_number": "603-275-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAWN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793231",
            "telephone_number": "603-275-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Geiger, RN
• Gentle Acupuncture LLC
• Gentle Path ABA LLC
• Emma George, PT, DPT
• Julian Gianotti, BCBA
• Lisa Grady Gilbert, P.T.
• Rachael L Gilberti, MS OTR/L
• Jonelle Gillette
• Tracy Gilmartin
• Joanne Gilmore

• General Practice Dentistry in Salem, NH
• Providers in Salem, NH by specialty
• General Practice Dentistry in New Hampshire

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