EDWIN CHARLES GIBBS DC ND LAC
NPI 1417088824
Chiropractor in Seaside, OR

Active since March 08, 2007
45 N HOLLADAY DR, SEASIDE, OR 97138(503) 738-7343(503) 738-9946 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edwin Charles Gibbs Dc Nd Lac NPPES

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

EDWIN CHARLES GIBBS DC ND LAC (NPI 1417088824) is an individual chiropractor in Seaside, Oregon, licensed in Oregon (272219) and active in the NPI registry since March 2007. He is a graduate of Other (1986).

NPPES Registry Identity

NPI1417088824
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEDWIN CHARLES GIBBSCredential: DC ND LAC
Location Address45 N HOLLADAY DRSeaside, OR 97138
Mailing Address45 N Holladay DrSeaside, OR 97138 · (503) 738-7343 · Fax (503) 738-9946
Fax(503) 738-9946
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 8, 2007
Last NPPES UpdateNovember 3, 2011
NPI 1417088824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OR · 272219
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X · License AC00733 (OR)
Also ListedNaturopathTaxonomy 175F00000X · License 1078 (OR)
45 N HOLLADAY DR, Seaside, OR 97138

Other Identifiers 6

Medicaid213146OR
Other862925001OR · Regence Blue Cross
Medicaid076724OR
Other862925003OR · Regence Blue Cross
Other862925004OR · Regence Blue Cross
Medicare PINR133844OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edwin Charles Gibbs Dc Nd Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608849906
PECOS Enrollment IDI20060217000563

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
128 services23 patients

Other Providers at the Same Location NPPES 3

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

Chiropractor
45 N HOLLADAY DR
SEASIDE, OR 97138
Chiropractor
45 N HOLLADAY DR
SEASIDE, OR 97138
Chiropractor
45 N HOLLADAY DR
SEASIDE, OR 97138

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 Edwin Gibbs's NPI number?

The NPI number for Edwin Gibbs is 1417088824. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Edwin Gibbs located?

Edwin Gibbs practices at 45 N Holladay Dr, Seaside, OR 97138. The listed phone number is (503) 738-7343.

What is Edwin Gibbs's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Edwin Gibbs enrolled in Medicare?

Yes. Edwin Gibbs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Gibbs was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.