Individual provider Active NPI

Donald W. Gibson, CH

  • Chiropractor
  • Greenwood Village, CO
National Provider Identifier
1982870267
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6191 Issued in CO
Practice address
5191 S Yosemite St
Suite a
Greenwood Village, CO 80111-3305
Phone
(303) 771-3102
Fax
(303) 796-0197
NPI assigned
May 6, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26723 CA
Chiropractor 111N00000X 6191 CO Primary

Addresses

Primary practice location

5191 S Yosemite St
Suite a
Greenwood Village, CO 80111-3305

Mailing address

5191 S Yosemite St
Suite a
Greenwood Village, CO 80111-3305
Phone (303) 771-3102

Other identifiers 1

IdentifierTypeStateIssuer
WDC26723AOtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000352 CO Practitioner - Chiropractic 4082667282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6191COMDProfessional Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1982870267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 S YOSEMITE ST",
            "address_2": "SUITE A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113305",
            "telephone_number": "303-771-3102",
            "fax_number": "303-796-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 S YOSEMITE ST",
            "address_2": "SUITE A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113305",
            "telephone_number": "303-771-3102",
            "fax_number": "303-796-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DONALD",
        "middle_name": "W.",
        "credential": "CH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26723",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WDC26723A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.