Organization Active NPI

Laurence O Gibbons Jr DDS PC

  • Dentist
  • Washington, DC
National Provider Identifier
1598989568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN3068 Issued in DC
Legal business name
LAURENCE O GIBBONS JR DDS PC
Practice address
4303 16TH Street NW
Washington, DC 20011-7011
Phone
(202) 723-2266
Fax
(202) 726-3552
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurence O Gibbons Jr., DDS MANPI 1861616831
Title
President
Phone
(202) 723-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN3068 DC Primary

Addresses

Primary practice location

4303 16TH Street NW
Washington, DC 20011-7011

Mailing address

4303 16TH Street NW
Washington, DC 20011-7011
Phone (202) 723-2266

National Provider Directory

National Provider Directory

Locations

4303 16th St NW
Washington, DC 20011
Phone (202) 723-2266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598989568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 16TH STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117011",
            "telephone_number": "202-723-2266",
            "fax_number": "202-726-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 16TH STREET NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200117011",
            "telephone_number": "202-723-2266",
            "fax_number": "202-726-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENCE O GIBBONS JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-723-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS MA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.