Gibson Chiropractic Center, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4211 Issued in NC

Legal business name

GIBSON CHIROPRACTIC CENTER, PLLC

Practice address

101 Lattner CT
Suite 301
Morrisville, NC 27560-6843

Phone

(919) 757-4410

Fax

(919) 200-7104

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Luke Gibson, D.C.NPI 1386910297

Title

Doctor/Owner

Phone

(919) 757-4410

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RTP Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Luke A. Gibson, D.C.

  • Chiropractor
  • Morrisville, NC
  • NPI 1386910297
  Medicare reassignment NPD Authorized official
• Justin Andrew Ott, D.C.

  • Chiropractor
  • Morrisville, NC
  • NPI 1568083152
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1669929980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LATTNER CT",
            "address_2": "SUITE 301",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606843",
            "telephone_number": "919-757-4410",
            "fax_number": "919-200-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LATTNER CT",
            "address_2": "SUITE 301",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606843",
            "telephone_number": "919-757-4410",
            "fax_number": "919-200-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "919-757-4410",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC7425A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RTP Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Anne Gallagher, LCSW
• Anupa Ganta, DO
• Lindsey Erin Garrett, DPT, PT
• Laura Marie Gayowski, RDN
• Cassandra M. Germain, PHD
• Luke A. Gibson, D.C.
• William Barritt Gilbert Jr., MD
• Amrit K Gill, MD
• Lauren Gilmore, CRNA
• Lori Ellen Ginsberg, PT

• Chiropractor in Morrisville, NC
• Providers in Morrisville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.