Individual provider Active NPI

Reginald A Gibson, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1639337314
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30 .015015 Issued in OH
Practice address
5886 Cheviot Rd
Cincinnati, OH 45247-6243
Phone
(513) 741-7690
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30 .015015 OH Primary

Addresses

Primary practice location

5886 Cheviot Rd
Cincinnati, OH 45247-6243

Mailing address

1687 Valdosta Dr
Cincinnati, OH 45246-2844
Phone (513) 699-5660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20241008001565 OH Practitioner - Dentist 0345547261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
30 .015015OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Jul 30, 2024 Accepting new patients
Equitas Health,Inc Current Accepting new patients
Equitas Health, Inc CurrentSince Jul 30, 2024 Accepting new patients

Locations

L3842
Columbus, OH 43260

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

1105 Schrock Rd
Ste 400
Columbus, OH 43229

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1639337314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 VALDOSTA DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462844",
            "telephone_number": "513-699-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452476243",
            "telephone_number": "513-741-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "REGINALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30 .015015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.