NPIMap

Organization Active NPI

Jeffrey M Gibbs DDS & G Paul King DDS Ms Inc

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1649340480
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18223 Issued in OH
Legal business name
JEFFREY M GIBBS DDS & G PAUL KING DDS MS INC
Practice address
4775 Knightsbridge Blvd
Suite 101
Columbus, OH 43214
Phone
(614) 451-5115
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Jeffrey M Gibbs, DDS
Title
President
Phone
(614) 451-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18223 OH Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18519 OH

Addresses

Primary practice location

4775 Knightsbridge Blvd
Suite 101
Columbus, OH 43214

Mailing address

4775 Knightsbridge Blvd
Suite 101
Columbus, OH 43214
Phone (614) 451-5115

Other names 1

  • Camelot Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

4775 Knightsbridge Blvd
Ste 101
Columbus, OH 43214
Phone (614) 292-2751

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1649340480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-451-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-451-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M GIBBS DDS & G PAUL KING DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-451-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18223",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camelot Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.