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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: October 18, 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
Phone(503) 738-7343
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
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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Edwin Gibbs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibbs Natural Healing Centre, PC
Same address
Chiropractor
45 N HOLLADAY DR
Seaside, OR 97138
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1679605828 (503) 738-7343

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. MARIAH ELIZABETH HOWARD DC
Chiropractor
45 N HOLLADAY DR
SEASIDE, OR 97138
Clatsop County (503) 738-7343
MARY ANN GIBBS DC
Chiropractor
45 N HOLLADAY DR
SEASIDE, OR 97138
Clatsop County (503) 738-7343
GIBBS NATURAL HEALING CENTRE, PC
Chiropractor
45 N HOLLADAY DR
SEASIDE, OR 97138
Clatsop County (503) 738-7343

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.

Which organization bills Medicare for Edwin Gibbs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Gibbs reassigns Medicare benefits to Gibbs Natural Healing Centre, PC (Seaside, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.