Gibson & Leavitt Oral, Maxillofacial and Implant Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

GIBSON & LEAVITT ORAL, MAXILLOFACIAL AND IMPLANT SURGERY

Practice address

670 S. Green Valley Pkwy #115
Henderson, NV 89052

Phone

(702) 685-3700

Fax

(702) 685-3701

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Ryan C Gibson, DDSNPI 1780794297

Title

Owner

Phone

(702) 685-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 4

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

• Ryan C Gibson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Henderson, NV
  • NPI 1780794297
  Medicare reassignment Care Compare group Authorized official
• Bryce D Leavitt, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Henderson, NV
  • NPI 1093919417
  Medicare reassignment Care Compare group NPD
• Brady Joseph Jones, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Henderson, NV
  • NPI 1548640188
  Medicare reassignment NPD
• Armen Agahi, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Henderson, NV
  • NPI 1881226017
  NPD

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1871820530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 S. GREEN VALLEY PKWY #115",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-685-3700",
            "fax_number": "702-685-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 S. GREEN VALLEY PKWY #115",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-685-3700",
            "fax_number": "702-685-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON & LEAVITT ORAL, MAXILLOFACIAL AND IMPLANT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-685-3700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Gianinetto
• Aimee C Gianni, MFT
• Giant Steps Health & Wellness LLC
• Sara Linh Gibbons
• Tasha Gibbs
• James Isaac Gibson III, D.D.S., M.S.
• Kimberly R Gibson
• Roland D Gibson
• Ruth Gibson
• Ryan C Gibson, DDS

• Oral and Maxillofacial Surgery (Dentist) in Henderson, NV
• Providers in Henderson, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.