Individual provider Active NPI

Claire Gibson, DMD

  • General Practice Dentistry
  • Paris, KY
National Provider Identifier
1790477123
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10922 Issued in KY
Practice address
2115 Rocky Dr
Paris, KY 40361-1370
Phone
(859) 987-3290
Fax
(859) 987-6800
NPI assigned
May 24, 2023
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10922 KY Primary

Addresses

Primary practice location

2115 Rocky Dr
Paris, KY 40361-1370

Mailing address

2115 Rocky Dr
Paris, KY 40361-1370
Phone (859) 987-3290

Other practice location 1

230 Connector Rd
Georgetown, KY 40324-9722
Phone (502) 642-5008

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10922KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates PSC General Practice PastSince May 28, 2023 Accepting new patients
Advanced Dentistry and Cosmetic Center General Practice Past Accepting new patients
Dustin Mayrand DMD PLLC General Practice PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 3

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1790477123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 ROCKY DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611370",
            "telephone_number": "859-987-3290",
            "fax_number": "859-987-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ROCKY DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611370",
            "telephone_number": "859-987-3290",
            "fax_number": "859-987-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Connector Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249722",
            "country_code": "US",
            "telephone_number": "502-642-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CLAIRE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.