Chad Randal Gibson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59654 Issued in CA

Practice address

6633 Telephone Rd
Suite #225
Ventura, CA 93003-5569

Phone

(805) 642-1555

Fax

(805) 642-1687

NPI assigned

Jul 13, 2011

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael D. Bryman, D.D.S., Inc.

  • Dentist
  • Ventura, CA
  • NPI 1386779155
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1811285703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 TELEPHONE RD",
            "address_2": "SUITE #225",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035569",
            "telephone_number": "805-642-1555",
            "fax_number": "805-642-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 TELEPHONE RD",
            "address_2": "SUITE #225",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035569",
            "telephone_number": "805-642-1555",
            "fax_number": "805-642-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CHAD",
        "middle_name": "RANDAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manasi C Ghatge, MD
• Mariam Gheissari
• Jody Jean Giacopuzzi, LCSW
• Maria Giacosie
• Allisa Marie Giannini, LMFT
• Kira Danielle Gibson, MFT, R.D.
• Megan Gibson
• Michelle Diane Giguere
• Alma Leticia Gil
• Barbara Jean Gilbert

• General Practice Dentistry in Ventura, CA
• Providers in Ventura, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.