Organization Active NPI

Dr. Scott H Gibbons and Debra F Gibbons Inc

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1821178559
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1199 Issued in ID
Legal business name
DR. SCOTT H GIBBONS AND DEBRA F GIBBONS INC
Practice address
3120 W Belltower Dr
Suite 150
Meridian, ID 83646-7744
Phone
(280) 680-2111
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Mr. Scott Hansen Gibbons, DC
Title
Chiropractor
Phone
(208) 846-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1199 ID Primary

Addresses

Primary practice location

3120 W Belltower Dr
Suite 150
Meridian, ID 83646-7744

Mailing address

3120 W Belltower Dr
Suite 150
Meridian, ID 83646-7701
Phone (208) 846-8898

Other names 1

  • Bridgetower Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3120 W Belltower Dr
Ste 150
Meridian, ID 83646
Phone (208) 846-8898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1821178559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W BELLTOWER DR",
            "address_2": "SUITE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467701",
            "telephone_number": "208-846-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W BELLTOWER DR",
            "address_2": "SUITE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467744",
            "telephone_number": "280-680-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SCOTT H GIBBONS AND DEBRA F GIBBONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HANSEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-846-8898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgetower Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.