Active NPI
John Martin Giblin, M.D., F.A.A.P.
- Pediatrics Physician
- Little Rock, AR
National Provider Identifier
1548398738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E0100
- Practice address
- 9601 Lile Dr
Suite 900
Little Rock, AR 72205-6321 - Phone
- (501) 312-1318
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E0100 | AR | Primary |
Addresses
Primary practice location
9601 Lile Dr
Suite 900
Little Rock, AR 72205-6321
Mailing address
9601 Lile Dr
Suite 900
Little Rock, AR 72205-6321
Phone (501) 312-1318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12595001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0100 | AR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548398738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 LILE DR",
"address_2": "SUITE 900",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-312-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 LILE DR",
"address_2": "SUITE 900",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056321",
"telephone_number": "501-312-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBLIN",
"first_name": "JOHN",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D., F.A.A.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E0100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12595001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.