DR. JENNIFER L GIBBS (NPI# 1093971210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093971210 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L GIBBS |
| Credential | MAS, DDS, PHD |
| Practice Address |
188 Longwood Ave Boston MA 02115-5819 |
| Practice Telephone | 6174321434 |
| Mailing Telephone | 6174324249 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN1858129 | MA | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
55412 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427387380 | Jennifer M Gibbs | Physical Therapist | 1931 Nw Mulholland Dr, Roseburg, OR 97470 | 2009-12-23 |
| 1295828556 | Jennifer Lowery Gibbs | Nurse Practitioner | 1901 S College Ave, Newark, DE 19702-2377 | 2006-10-01 |
| 1740849975 | Jennifer Elaine Gibbs | Social Worker | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2019-06-11 |
| 1518371129 | Jennifer Nicole Gibbs | Nurse Practitioner | 800 1st St Ste 240, Macon, GA 31201-8308 | 2014-06-12 |
| 1063841229 | Jennifer Gibbs | Physical Therapist | 2575 N Drake Rd, Kalamazoo, MI 49006-1358 | 2013-11-07 |
| 1902238769 | Jennifer Dokupil Gibbs | Nurse Practitioner | 7494 Battlefield Pkwy, Ringgold, GA 30736-7306 | 2013-08-04 |
| 1053645390 | Jennifer Lee Gibbs | Speech-Language Pathologist | 3637 Medina Rd, Suite 220, Medina, OH 44256-9654 | 2009-09-18 |
| 1194976910 | Jennifer Marie Gibbs | Nurse Practitioner | 2211 Lomas Blvd, Albuquerque, NM 87131-0001 | 2008-10-10 |
| 1053583278 | Jennifer Gibbs | Registered Nurse | 8175 Nw 12th St, Suite 306, Doral, FL 33126-1828 | 2008-03-27 |
| 1942498902 | Jennifer Gibbs | Counselor | 208 E Main St, Olney, IL 62450-2114 | 2007-10-04 |
| Street Address |
188 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664849 | Thomas R Flynn | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2005-10-27 |
| 1346857869 | Saad Almujel | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-09-29 |
| 1548878176 | Ionut Sebastian Viski | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1962010504 | Ankita Arunkumar Nigam | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1013525708 | Min Jeong | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-19 |
| 1235747395 | Yujun Wang | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-15 |
| 1346868692 | Asmaa Faisal Bukhari | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-13 |
| 1003433160 | Nicha Tokavanich | Student in an Organized Health Care Education/Training Program | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-06 |
| 1134746464 | Justin Lewis Tomack | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-02 |
| 1144847526 | Morgan Celistan | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1194151118 | Marielena Gamboa-ruiz | Dentist | 1 Kneeland St Fl 11, Boston, MA 02111-1527 | 2013-09-23 |
| 1407282999 | Ramipal S Khurana | Dentist | 100 E Newton St # G202, Boston, MA 02118-2308 | 2013-09-17 |
| 1336575828 | Hsiao-ying Candice Yang | Dentist | 100 E Newton St # G-202, Boston, MA 02118-2308 | 2013-09-17 |
| 1710239918 | Roshanak Baghai Naini | Dentist | 100 East Newton, Boston University School of Dental Medicine, Boston, MA 02118 | 2012-10-11 |
| 1992055776 | Ashraf Abd-elmeguid | Dentist | 100 East Newton St, Boston, MA 02118 | 2012-09-19 |
| 1679887434 | Michael Pauk | Dentist | 100 E Newton St # 705, Boston University Goldman School of Dental Medicine, Boston, MA 02118-2308 | 2010-08-03 |
| 1780890681 | Jyotika Tucker | Dentist | 1356 Boston Road, Boston, MA 01103 | 2007-05-15 |
| 1386798874 | Barry J Goldberg | Dentist | 800 Boylston St Ste 200, Boston, MA 02199-8176 | 2007-01-22 |
| Find all providers in BOSTON | ||||
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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.