Active NPI
Donald W. Gibson, CH
- Chiropractor
- Greenwood Village, CO
National Provider Identifier
1982870267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6191
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WDC26723A | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090817000352 | CO | Practitioner - Chiropractic | 4082667282 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6191 | CO | MD | Professional 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.