JOHN GIBBONS (NPI# 1023429156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023429156 |
| Entity Type | Individual |
| Full Name | JOHN GIBBONS |
| Credential | DDS |
| Practice Address |
316 M L King Jr Way Ste 209 Tacoma WA 98405-4254 |
| Practice Telephone | 2536276023 |
| Practice Fax Number | 2536274035 |
| Mailing Telephone | 2536276023 |
| Mailing Fax Number | 2536274035 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE60660680 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508106808 | John Gibbons | Psychologist | 765 Route 70 E, Marlton, NJ 08053-2341 | 2013-02-22 |
| 1164712345 | John Patrick Gibbons | Student in an Organized Health Care Education/Training Program | 43a Avondale Court, Blackrock, CO. DUBLIN 000 | 2011-04-08 |
| 1356461511 | John J Gibbons | Social Worker | 808 Spring St, Avoca, PA 18641-1114 | 2007-03-30 |
| 1902398845 | John Charles Gibbons | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2018-06-06 |
| 1487864807 | John E. Gibbons | Psychologist | 8 Cypress Creek Rd, Severna Park, MD 21146-4050 | 2007-05-23 |
| 1023233046 | John L Gibbons | Dentist | 9692 Levin Rd Nw, 202, Silverdale, WA 98383-7801 | 2007-04-16 |
| 1336279199 | John F Gibbons | Physician Assistant | 1375 E 19th Ave, Denver, CO 80218-1114 | 2007-03-07 |
| 1588620553 | John M Gibbons | Orthopaedic Surgery | 100 Trich Dr, Suite 2, Washington, PA 15301-5990 | 2006-04-26 |
| 1821069279 | John Frederick Gibbons | Internal Medicine | 451 Clarkson Avenue, Kings County Hospital, Brooklyn, NY 11203 | 2006-02-01 |
| 1437139110 | John Albert Gibbons Jr. | Family Medicine | 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236-5300 | 2006-01-19 |
| Street Address |
316 M L KING JR WAY STE 209 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700178878 | Michael Luong | Dentist | 1148 72nd St E, Ste B, Tacoma, WA 98404-1705 | 2011-05-09 |
| 1407166655 | Wjm Dental Inc | Dentist | 4002 South M Street, Suite A, Tacoma, WA 98418 | 2010-10-20 |
| 1790947778 | Pediatric Dental Care Center | Dentist | 316 Martin Luther King Jr Way Ste 209, Tacoma, WA 98405-4254 | 2008-06-30 |
| 1265573448 | Lindquist Dental Clinic for Children | Dentist | 130 131st St S, Tacoma, WA 98444-4804 | 2007-02-09 |
| 1942663927 | North Tacoma Pediatric Dentistry and Orthodontics LLC | Dentist | 3402 S 18th St, Suite B, Tacoma, WA 98405-1903 | 2016-03-29 |
| 1841586567 | Yasmine Zangeneh | Dentist | 2209 E 32nd St, Tacoma, WA 98404-4922 | 2011-06-21 |
| 1669768529 | Cook Pediatric Dentistry | Dentist | 1901 S Union Ave, Suite B6005, Tacoma, WA 98405-1702 | 2011-06-20 |
| 1356596811 | Aa Bansal Pllc | Dentist | 317 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2008-11-25 |
| 1407043367 | George Calvin Brain | Dentist | 1901 S Union Ave, B-3008, Tacoma, WA 98405-1702 | 2007-09-25 |
| 1174617781 | George C. Brain Dds PC | Dentist | 1901 S Union Ave, Suite B-3008, Tacoma, WA 98405-1702 | 2006-10-03 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.