Active NPI
Gibson Upper Cervical Chiropractic, LLC
- Chiropractor
- Du Bois, PA
National Provider Identifier
1649594672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew N Gibson, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryPractitioners & 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.
-
- Chiropractor
- Du Bois, PA
- NPI 1366764607
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.