Glenn M. Gibson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012425 Issued in NY

Practice address

400 Kings Mall CT
Kingston, NY 12401-1578

Phone

(846) 663-8299

NPI assigned

Dec 12, 2013

Last updated

Dec 2, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Island Family Chiropractic Wellness PLLC

  • Chiropractor
  • Kingston, NY
  • NPI 1861823577
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1619308954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CLOVER ST",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124916019",
            "telephone_number": "845-663-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KINGS MALL CT",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011578",
            "telephone_number": "846-663-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GLENN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Gerbarg, MD
• Safieh Ghods-Kash, PHD
• Mansoor Ghoto, MD
• Robin Giammichele, LPN
• Joseph Giannetta, MD
• Kimmer Gifford
• Patricia A Gilchrist, LCSW
• Andrew Gilson, MD
• Stefania Stella Giobbe, M.D.
• Joanna Gjini, LP-MHC

• Chiropractor in Kingston, NY
• Providers in Kingston, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.