Organization Active NPI

Gibson Upper Cervical Chiropractic, LLC

  • Chiropractor
  • Du Bois, PA
National Provider Identifier
1649594672
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GIBSON UPPER CERVICAL CHIROPRACTIC, LLC
Practice address
23 Beaver Dr
Du Bois, PA 15801-2443
Phone
(814) 371-7412
Fax
(814) 371-7413
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Andrew N Gibson, D.C.NPI 1366764607
Title
Owner
Phone
(814) 553-9469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

23 Beaver Dr
Du Bois, PA 15801-2443

Mailing address

23 Beaver Dr
Du Bois, PA 15801-2443
Phone (814) 371-7412

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1649594672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012443",
            "telephone_number": "814-371-7412",
            "fax_number": "814-371-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BEAVER DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012443",
            "telephone_number": "814-371-7412",
            "fax_number": "814-371-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON UPPER CERVICAL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-553-9469",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.