1. Home
  2. Directory
  3. Oregon
  4. Bend
  5. Dentist
  6. NPI Profile

DR. REX SHANNON GIBSON D.D.S
NPI 1174730287
Dentist - Pediatric Dentistry in Bend, OR

Active since May 17, 2007
1245 SE 3RD ST, STE #A-1, BEND, OR 97702(541) 318-5688(541) 322-5581 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rex Shannon Gibson D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REX SHANNON GIBSON D.D.S (NPI 1174730287) is an individual pediatric dentistry provider in Bend, Oregon, licensed in Oregon (D7724) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1174730287
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. REX SHANNON GIBSONCredential: D.D.S
Location Address1245 SE 3RD ST, STE #A-1Bend, OR 97702-2161
Mailing Address63870 Johnson RdBend, OR 97701-5218 · (541) 318-5688
Phone(541) 318-5688
Fax(541) 322-5581
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 15, 2008
✔ NPI 1174730287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OR · D7724
Definition
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.
1245 SE 3RD ST, Bend, OR 97702
Open in Google Maps ↗

Other Identifiers 1

Medicaid299183OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADELINE KELLEY DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1245 SE 3RD ST
BEND, OR 97702
Deschutes County (541) 318-5688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rex Gibson's NPI number?

The NPI number for Rex Gibson is 1174730287. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Rex Gibson located?

Rex Gibson practices at 1245 SE 3rd St Ste #a-1, Bend, OR 97702. The listed phone number is (541) 318-5688.

What is Rex Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Rex Gibson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 6 other insurers list Rex Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rex Gibson was last updated on January 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.