RYAN C GIBSON (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1780794297

RYAN C GIBSON (DDS) is a healthcare provider. based in Henderson, Nevada. specializing in ORAL SURGERY, MAXILLOFACIAL SURGERY. They hold the professional credentials DDS. They hold a License No. DR20000158 (WA). The NPI Number for RYAN C GIBSON (DDS) is 1780794297

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
RYAN C GIBSON (DDS)
NPI
1780794297
Phone
(702) 685-3700
Address
670 S. GREEN VALLEY PKWY #115
Enumeration Date
30 August 2006
Last Update Date
19 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY
Secondary Phone
7026853700
Graduation Year
2005 (21 years ago)
PAC ID
8325177132
Group Practice PAC ID
0749595205
Professional Enrollment ID
I20100603000210
Address ID
NV890520434HE670XXPKWY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

12 ORAL SURGERY in NV

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Provider Addresses for RYAN C GIBSON (DDS)

  • 115, South Green Valley Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89012, United States

    HENDERSON, NV 89052

    Phone: (702) 685-3700

    Fax: (702) 685-3701

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,625.

Total Amount is formed as General ($1,625) + Research ($0) + Ownership ($0) = $1,625.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($819).

Total Amount

$1,625

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,625

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100603000210IOral SurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99202New patient office or other outpatient visit, 15-29 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749595205View full group profile
NameSpecialtyState
Maxillofacial SurgeryNV
Oral Surgery, Maxillofacial SurgeryTN

Reviews

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Frequently asked questions

How is RYAN C GIBSON (DDS) identified in CMS data?
CMS-hosted NPPES data lists RYAN C GIBSON (DDS) with NPI 1780794297.
Can I rely on RYAN C GIBSON (DDS) being an active provider?
As of the registry snapshot, RYAN C GIBSON (DDS) is marked active.
What taxonomy line describes RYAN C GIBSON (DDS)?
For research purposes, treat RYAN C GIBSON (DDS) as Oral and Maxillofacial Surgery (Dentist) in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN C GIBSON (DDS) on a map?
Expect Henderson, Nevada as a primary anchor for RYAN C GIBSON (DDS) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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