DR. JIMMY R GIBSON JR. DDS
NPI 1629699079
Dentist - Pediatric Dentistry in Brooklyn, NY

Active since April 27, 2020
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5000 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jimmy R Gibson Jr. Dds NPPES

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

DR. JIMMY R GIBSON JR. DDS (NPI 1629699079) is an individual pediatric dentistry provider in Brooklyn, New York, licensed in Michigan (2901601226) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1629699079
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JIMMY R GIBSON JR.Credential: DDS
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139
Mailing Address415 Summer Glen CtStone Mountain, GA 30087-5522
Sole ProprietorYes
Enumeration DateApril 27, 2020
Last NPPES UpdateJune 12, 2023
NPPES CertifiedJune 12, 2023
NPI 1629699079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MI · 2901601226
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.
1 BROOKDALE PLZ, Brooklyn, NY 11212

Accepted Insurance

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.

Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Internal Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212

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 Jimmy Gibson's NPI number?

The NPI number for Jimmy Gibson is 1629699079. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Where is Jimmy Gibson located?

Jimmy Gibson practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.

What is Jimmy Gibson's specialty?

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

What insurance does Jimmy Gibson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Jimmy 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 Jimmy Gibson was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.