Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANTRELL RONTRICE GIBSON
NPI 1356251532
General Practice in Dallas, TX

Q: What is Shantrell Gibson's NPI number?

The NPI number for Shantrell Gibson is 1356251532. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Q: What is Shantrell Gibson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Shantrell Gibson was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2026

4055 VALLEY VIEW LN, DALLAS, TX 75244(855) 984-5121 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Shantrell Rontrice Gibson NPPES

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

SHANTRELL RONTRICE GIBSON (NPI 1356251532) is an individual general practice provider in Dallas, Texas, licensed in Arkansas (221904) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1356251532

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSHANTRELL RONTRICE GIBSON

Location Address4055 VALLEY VIEW LNDallas, TX 75244-5074

Mailing Address302 Cheyenne PlTexarkana, TX 75501-2620

Phone(855) 984-5121

Sole ProprietorNo

Enumeration DateSeptember 9, 2026

Last NPPES UpdateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1356251532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AR · 221904

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4055 VALLEY VIEW LN, Dallas, TX 75244

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Other Providers at the Same Location NPPES 20

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

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