Active NPI
Thomas Craig Gibson, D.C.
- Chiropractor
- Folsom, CA
National Provider Identifier
1548586464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 30989
- Practice address
- 2390 E Bidwell St
Suite 100
Folsom, CA 95630-3872 - Phone
- (916) 259-5000
- NPI assigned
- Apr 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 30989 | CA | Primary |
| Chiropractor | 111N00000X | SAT 13148 | CA |
Addresses
Primary practice location
2390 E Bidwell St
Suite 100
Folsom, CA 95630-3872
Mailing address
2390 E Bidwell St
Suite 100
Folsom, CA 95630-3872
Phone (916) 259-5000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 30989 | CA | MD | Chiropractor |
| SAT 13148 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1548586464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 E BIDWELL ST",
"address_2": "SUITE 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303872",
"telephone_number": "916-259-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 E BIDWELL ST",
"address_2": "SUITE 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303872",
"telephone_number": "916-259-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "THOMAS",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-16",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 30989",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "SAT 13148",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.