Claudette Gibson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

7512 S County Line Rd
Suite 2
Burr Ridge, IL 60527-6961

Phone

(630) 986-2444

NPI assigned

Jul 25, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1629091202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 S COUNTY LINE RD",
            "address_2": "SUITE 2",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276961",
            "telephone_number": "630-986-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 S COUNTY LINE RD",
            "address_2": "SUITE 2",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276961",
            "telephone_number": "630-986-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CLAUDETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Garrity, MD
• Arunas E Gasparaitis, MD
• Bereket A Gebregziabher
• Glenn S Gerber, MD
• Kathryn Giammarino
• Angela Gillespie, PA-C
• Scott E Glaser, M.D.
• Sarah H Glavin, MD
• Samuel Golden, MD
• Eduardo Gomez

• General Practice Dentistry in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.