Active NPI
Debra E Gibbs, RDH
- Dental Hygienist
- Martinez, GA
National Provider Identifier
1841760451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3739
- Practice address
- 523 Crystal Creek West
Martinez, GA 30907 - Phone
- (864) 314-4339
- NPI assigned
- Nov 27, 2018
- Last updated
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3739 | SC | Primary |
Addresses
Primary practice location
523 Crystal Creek West
Martinez, GA 30907
Mailing address
523 Crystal Creek West
Martinez, GA 30907
Phone (864) 314-4339
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3739 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1841760451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 CRYSTAL CREEK WEST",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30907",
"telephone_number": "864-314-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 CRYSTAL CREEK WEST",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30907",
"telephone_number": "864-314-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "DEBRA",
"middle_name": "E",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "3739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
- Georgia Department of Human Resources (Gracewood Community Services)
- Georgia Family Crisis Solutions
- Georgia Health Sciences University
- Georgia Psychological Services
- Alan Grant Getts, M.D.
- Elizabeth Ray Glaze, LPC
- Golden Generation LLC
- Golden Generations Assisted Living Inc.
- Melodie Creager Good, M.A., L.P.C.
- Baileigh Goolsby
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.