Gibbon Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GIBBON FAMILY DENTISTRY

Practice address

812 First Street Box 459
Gibbon, NE 68840

Phone

(308) 468-5500

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R Herrmann, DDS

Title

Vice President

Phone

(308) 468-5500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972683738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 FIRST STREET BOX 459",
            "city": "GIBBON",
            "state": "NE",
            "postal_code": "68840",
            "telephone_number": "308-468-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 FIRST STREET BOX 459",
            "city": "GIBBON",
            "state": "NE",
            "postal_code": "68840",
            "telephone_number": "308-468-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "308-468-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025129300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierra Clements
• Aleida Contreras
• Benjamin J Dally
• Rachael Dally
• Essentially Innate Chiropractic & Wellness, PC
• Gibbon Public Schools
• Gibbon Public Schools
• Gibbon Voulenteer Fire Department (Gibbon Fire Dept.)
• Salomon Granados Cruz
• Bertila Granados

• General Practice Dentistry in Gibbon, NE
• Providers in Gibbon, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.