Kathleen Gibney Drawbaugh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016252 Issued in MI

Practice address

19511 Mack Ave
Grosse Pointe Woods, MI 48236-2836

Phone

(313) 882-1752

Fax

(313) 882-0645

NPI assigned

Sep 21, 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kathleen E. Gibney DDS PC

  • General Practice Dentistry
  • Grosse Pointe Woods, MI
  • NPI 1639277676
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1639277668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19511 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362836",
            "telephone_number": "313-882-7152",
            "fax_number": "313-882-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19511 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362836",
            "telephone_number": "313-882-1752",
            "fax_number": "313-882-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAWBAUGH",
        "first_name": "KATHLEEN",
        "middle_name": "GIBNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Direzze, DDS
• Jamika Donald
• Winona Sage Dothard
• Kourtney Douglas
• Dr. Siv'S Dentistry PLLC
• Amy Elizabeth Due
• Carrie L Dul, M.D.
• Miya Dumas
• Nicole Erin Durkin, NP
• Charlotte Martin Duus

• General Practice Dentistry in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.