Individual provider Active NPI

Daniel Gibbs, D.C.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1659817278
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11997 Issued in FL
Practice address
175 S Nova Rd
Suite 6a
Ormond Beach, FL 32174-0406
Phone
(386) 265-0297
NPI assigned
Jan 7, 2017
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11997 FL Primary

Addresses

Primary practice location

175 S Nova Rd
Suite 6a
Ormond Beach, FL 32174-0406

Mailing address

4 Pearl Dr
Ste 1
Ormond Beach, FL 32174-1927
Phone (386) 265-0297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125002434 FL Practitioner - Chiropractic 5092074740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Pearl Dr
Suite 1
Ormond Beach, FL 32174-1927
Phone (386) 265-0297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11997FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiroflo, Inc Chiropractor CurrentSince May 14, 2017 Accepting new patients

Locations

175 S Nova Rd
Ste 6A
Ormond Beach, FL 32174
Phone (386) 265-0297

4 Pearl Dr
Ste 1
Ormond Beach, FL 32174
Phone (386) 677-2522

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1659817278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PEARL DR",
            "address_2": "STE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741927",
            "telephone_number": "386-265-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S NOVA RD",
            "address_2": "SUITE 6A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740406",
            "telephone_number": "386-265-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DANIEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-07",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.