Kimberley Ann Gibson, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH00004162 Issued in WA

Practice address

104 39TH Ave SW Ste E
Puyallup, WA 98373-5960

Phone

(253) 841-1386

Fax

(253) 841-5995

NPI assigned

Jun 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710182985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16314 96TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759677",
            "telephone_number": "253-848-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 39TH AVE SW STE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735960",
            "telephone_number": "253-841-1386",
            "fax_number": "253-841-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KIMBERLEY",
        "middle_name": "ANN",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00004162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Nabegh N Ghattas, D.P.D
• Simranjeet Ghuman, PHARM.D.
• Ericka Marie Gianotto, ARNP, FNP-C, DNP
• Curren Elliott Giberson, MD
• Kristie L Gibney, MA CCC-SLP
• Samaree E Gibson
• Alvin Gichinga, PHARMD
• Zakaria Gilal
• Melanie Gilbert
• Erik William Gilbertson, D.C., N.D.

• Dental Hygienist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.