EDWIN CHARLES GIBBS DC ND LAC NPI 1417088824

NPI Information

NPI: 1417088824
Provider Name: EDWIN CHARLES GIBBS, DC ND LAC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address: 45 N HOLLADAY DR
SEASIDE, OR
ZIP 97138
Phone: (503) 738-7343

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NPI Details

Edwin Charles Gibbs, DC ND LAC is a chiropractor in Seaside, OR with 40 years of experience. The provider is 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. Edwin Charles Gibbs, DC ND LAC NPI is 1417088824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

45 N HOLLADAY DR
SEASIDE, OR
ZIP 97138
Phone: (503) 738-7343
Fax: (503) 738-9946

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 3/8/2007 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171100000X	Acupuncturist	AC00733	OREGON	No
2	175F00000X	Naturopath	1078	OREGON	No
3	111N00000X	Chiropractor	272219	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213146	MEDICAID	OREGON
2	862925001	OTHER	OREGON	REGENCE BLUE CROSS
3	076724	MEDICAID	OREGON
4	862925003	OTHER	OREGON	REGENCE BLUE CROSS
5	862925004	OTHER	OREGON	REGENCE BLUE CROSS
6	R133844	MEDICARE PIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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