Active NPI
Jason Gibson, D.C.
- Chiropractor
- Avon, IN
National Provider Identifier
1689993438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002518A
- Practice address
- 10080 E US Highway 36 Ste B
Avon, IN 46123-8174 - Phone
- (317) 600-3070
- NPI assigned
- May 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002518A | IN | Primary |
Addresses
Primary practice location
10080 E US Highway 36 Ste B
Avon, IN 46123-8174
Mailing address
10080 E US Highway 36 Ste B
Avon, IN 46123-8174
Phone (317) 600-3070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hicks Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Michigan City, IN
- NPI 1588707053
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1689993438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 E US HIGHWAY 36 STE B",
"city": "AVON",
"state": "IN",
"postal_code": "461238174",
"telephone_number": "317-600-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10080 E US HIGHWAY 36 STE B",
"city": "AVON",
"state": "IN",
"postal_code": "461238174",
"telephone_number": "317-600-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002518A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.