Mark Breckenridge Gibbs, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9029 Issued in NC

Practice address

901 Pine Tree Dr
New Bern, NC 28562-4435

Phone

(252) 633-5544

NPI assigned

Mar 11, 2011

Last updated

Mar 11, 2011By 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

Previously, 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.

• Gibbs Dentistry

  • Dentist
  • New Bern, NC
  • NPI 1669888236
  NPD (past) Authorized official
• Kenneth W. Gibbs, D.M.D., P.a.

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

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1912205139",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MARK",
        "middle_name": "BRECKENRIDGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Giannace, M.S., CCC-SLP
• Gibbs Dentistry
• Gibbs Hall Hearing Aid Center LLC
• Juanisha Gibbs
• Kenneth W Gibbs, DMD
• Minerva Sincerely Gibbs, LCSWA
• Wood B Gibbs, M.D.
• Vera Monique Gibson, LPCA
• Jacqueline Giganti
• Johanna Mae Gilbert, RN, IBCLC

• 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 11, 2011; 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.