KELLY GIBSON


Address: 18800 Main St Ste 202, Huntington Beach, CA 92648-1718
Phone: 7148482278

KELLY GIBSON (NPI# 1982013124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982013124
Entity Type Individual
Full Name KELLY GIBSON
Credential DDS
Practice Address 18800 Main St Ste 202
Huntington Beach
CA 92648-1718
Practice Telephone 7148482278
Mailing Telephone 7148482278
Enumeration Date 2014-08-12
Last Update Date 2014-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
63620 CA Dental Providers

Other Providers KELLY GIBSON

NPI Name Taxonomy Address Enumeration
1093105371 Kelly Gibson Chiropractor 608 Fisher Cir, Folsom, CA 95630-9541 2015-01-26
1043559628 Kelly Ann Gibson Nurse Practitioner 6400 Greenfield Rd, #908, Elkridge, MD 21075-9101 2013-02-02
1316140551 Kelly Marie Gibson Chiropractor 1929 W Vista Way, Suite C, Vista, CA 92083 2007-06-06
1811521172 Kelly Bruce Gibson Physical Therapist 5520 Broadview Rd Frnt, Parma, OH 44134-1606 2020-02-26
1346737806 Kelly J Gibson Occupational Therapy Assistant 25018 Oakhurst Dr, Spring, TX 77386-2722 2018-04-19
1407197114 Kelly Gibson Physician Assistant 228 Saint George St, Gonzales, TX 78629-3910 2013-03-05
1023388444 Kelly Gibson Physical Therapist 701 Hewitt Blvd, Red Wing, MN 55066-2848 2012-01-02
1215101480 Kelly Smith Gibson Obstetrics & Gynecology 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2008-04-17
1841324860 Kelly A Gibson Audiologist 780 W Olive Ave Ste 100, Merced, CA 95348-2437 2007-03-14

Office Location

Street Address 18800 MAIN ST STE 202
City HUNTINGTON BEACH
State CA
Zip Code 92648-1718

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861009870 Nutrition By Gwen Consulting Dietitian, Registered 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 2020-09-24
1679131668 Honey Dixit Marriage & Family Therapist 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 2019-06-04
1326525361 Gold Standard Recovery Services, LLC Substance Abuse Rehabilitation Facility 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 2018-07-23
1336690338 Douglas Chee Physician Assistant 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 2016-10-14
1801343124 Serena Trang Ta Dentist 18700 Main St Ste 203, Huntington Beach, CA 92648 2016-09-02
1659826485 Griffo Chiropractic Center Inc Chiropractor 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 2016-08-22
1184076143 Kaely Mcdevitt Dietitian, Registered 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 2016-07-01
1699123885 Jack Petti Clinical Medical Laboratory 226 6th Street, Huntington Beach, CA 92648 2016-05-27
1275980880 David Whitehouse Pharmacist 7989 Aldea Circle, Huntington Beach, CA 92648 2016-05-24
1265886345 Kimberly Lank Pediatrics 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 2016-04-14
Find all providers in zip 92648

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851907380 Kevin Thanh Nguyen Dentist 17742 Beach Blvd Ste 350, Huntington Beach, CA 92647-6854 2020-09-21
1679182869 Abrishami Basti Dental Corporation Dentist 6552 Bolsa Ave Ste Q, Huntington Beach, CA 92647-2656 2020-07-24
1831707108 Tiffany Nguyenfa Dentist 16987 Roundhill Dr, Huntington Beach, CA 92649-4213 2020-07-22
1477109353 Kelly S Jin Dentist 6612 Silverspur Ln, Huntington Beach, CA 92648-1503 2019-08-15
1164917092 Antonious Dawood Dentist 16171 Tomas Ln, Huntington Beach, CA 92649-2432 2018-06-23
1457861635 K Whelan Dds Inc Dentist 18700 Main St Ste 208, Huntington Beach, CA 92648-1714 2017-10-02
1215450267 Wynn Shang Dentist 21222 Beach Blvd, Huntington Beach, CA 92648-5411 2017-07-21
1326576554 Alexandria N. Arditti Dds, Dental Corporation Dentist 18800 Delaware St Ste 700, Huntington Beach, CA 92648-6018 2017-06-01
1801343124 Serena Trang Ta Dentist 18700 Main St Ste 203, Huntington Beach, CA 92648 2016-09-02
1588011373 Derrick Tuan Pham Dentist 19720 Beach Blvd Ste A, Huntington Beach, CA 92648-2987 2016-05-21
Find all providers in HUNTINGTON BEACH

Competitor

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City HUNTINGTON BEACH
Zip Code 92648

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Dataset Information

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.

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