NPIMap

Organization Active NPI

Andrew C Gibson DDS PLLC

Doing business as Children's Dentistry

  • Pediatric Dentistry
  • Richmond, VA
National Provider Identifier
1639607914
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401414509 Issued in VA
Legal business name
ANDREW C GIBSON DDS PLLC
Doing business as
Children's Dentistry
Practice address
4025 Mechanicsville Tpke
Richmond, VA 23223-1117
Phone
(804) 321-6800
NPI assigned
May 31, 2017
Last updated
May 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Authorized official

Name
Dr. Andrew C Gibson, DDS, MSD
Title
Owner/Pediatric Dentist
Phone
(804) 321-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401414509 VA Primary

Addresses

Primary practice location

4025 Mechanicsville Tpke
Richmond, VA 23223-1117

Mailing address

4025 Mechanicsville Tpke
Richmond, VA 23223-1117

Other names 1

  • Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4025 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 321-6800

Practitioners & affiliated clinicians

Practitioners 5

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": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1639607914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 MECHANICSVILLE TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 MECHANICSVILLE TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231117",
            "telephone_number": "804-321-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C GIBSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "804-321-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401414509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.