McKenna Rhea Gibson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6232 Issued in AL

Practice address

10871 County Line Rd Ste a
Madison, AL 35758

Phone

(256) 724-3530

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• McKenna Ashli Rhea Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

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 and National Provider Directory roles.

• Gibson Dental LLC

  • General Practice Dentistry
  • Madison, AL
  • NPI 1073963625
  NPD (past)
• West Madison Dental LLC

  • Dental Clinic/Center
  • Madison, AL
  • NPI 1184323040
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1861808487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10871 COUNTY LINE RD STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583668",
            "telephone_number": "256-724-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10871 COUNTY LINE RD STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-724-3530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10871 County Line Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "35758",
            "country_code": "US",
            "telephone_number": "256-724-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MCKENNA",
        "middle_name": "RHEA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6232",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30262",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENNA",
            "last_name": "RHEA",
            "middle_name": "ASHLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gibson Orthodontics LLC
• Ashley E Gibson, RBT
• Ashley Marie Gibson, PA-C
• Jerry U. Gibson, LPC, NCC
• Matthew Gibson, D.M.D.
• Mayson Deshea Giffel
• Hannah Gilbert, OTR
• Blake Hamilton Gilliam
• Chad Jamison Gilliam, MMS, PA-C
• Heather Gilliam, CLD

• General Practice Dentistry in Madison, AL
• Providers in Madison, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.