Kenneth W Gibbs, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC3550 Issued in NC

Practice address

901 Pine Tree Dr
New Bern, NC 28562-4435

Phone

(252) 633-5544

Fax

(252) 633-9788

NPI assigned

May 20, 2006

Last updated

Mar 18, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 15, 2012 through Oct 15, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenneth W. Gibbs, D.M.D., P.a.

  • General Practice Dentistry
  • New Bern, NC
  • NPI 1740447002
  NPD (past) Authorized official
• Gibbs Dentistry

  • Dentist
  • New Bern, NC
  • NPI 1669888236
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1821042128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PINE TREE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624435",
            "telephone_number": "252-633-5544",
            "fax_number": "252-633-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PINE TREE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624435",
            "telephone_number": "252-633-5544",
            "fax_number": "252-633-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrison Zachary Gerald-Banks, DDS
• Allison Giannace, M.S., CCC-SLP
• Gibbs Dentistry
• Gibbs Hall Hearing Aid Center LLC
• Juanisha Gibbs
• Mark Breckenridge Gibbs, D.M.D.
• Minerva Sincerely Gibbs, LCSWA
• Wood B Gibbs, M.D.
• Vera Monique Gibson, LPCA
• Jacqueline Giganti

• General Practice Dentistry in New Bern, NC
• Providers in New Bern, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.