Active NPI
Gibbs Natural Healing Centre, PC
- Chiropractor
- Beaverton, OR
National Provider Identifier
1780849653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- GIBBS NATURAL HEALING CENTRE, PC
- Practice address
- 1975 NW 167TH PL Ste 100
Beaverton, OR 97006-4908 - Phone
- (503) 522-4148
- Fax
- (503) 738-9946
- NPI assigned
- Jul 21, 2008
- 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
- Mary Ann Gibbs, D.C.
- Title
- Secretary
- Phone
- (503) 522-4148
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X | |||
| Naturopath | 175F00000X |
Addresses
Primary practice location
1975 NW 167TH PL Ste 100
Beaverton, OR 97006-4908
Mailing address
1975 NW 167TH PL Ste 100
Beaverton, OR 97006-4908
Phone (503) 522-4148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862925000 | Other | OR | REGENCE BLUE CROSS |
Other names 1
- Gibbs Natural Healing Centre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140718000919 | OR | Part B Supplier - Clinic/Group Practice | 6800012329 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Seaside, OR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391385600000",
"number": "1780849653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 NW 167TH PL STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064908",
"telephone_number": "503-522-4148",
"fax_number": "503-738-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 NW 167TH PL STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064908",
"telephone_number": "503-522-4148",
"fax_number": "503-738-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBBS NATURAL HEALING CENTRE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-21",
"last_updated": "2014-02-03",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "503-522-4148",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS",
"identifier": "862925000",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gibbs Natural Healing Centre",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.