DR. REX SHANNON GIBSON (D.D.S) – Pediatric Dentistry, NPI 1174730287

DR. REX SHANNON GIBSON (D.D.S) is a healthcare provider. based in Bend, Oregon. specializing in Pediatric Dentistry. They hold the professional credentials D.D.S. They hold a License No. D7724 (OR). The NPI Number for DR. REX SHANNON GIBSON (D.D.S) is 1174730287

Main info

Male
Sole Proprietor
Name
DR. REX SHANNON GIBSON (D.D.S)
NPI
1174730287
Phone
(541) 318-5688
Address
63870 JOHNSON RD
Enumeration Date
17 May 2007
Last Update Date
15 January 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. REX SHANNON GIBSON (D.D.S)

  • Johnson Road, Crest Manor Addition, South Bend, Saint Joseph County, Indiana, 46614, United States

    BEND, OR 977015218

    Phone: (541) 318-5688

    Type: Mailing

  • 1245, Southeast 3rd Street, Bend, Deschutes County, Oregon, 97702, United States

    STE #A-1

    BEND, OR 977022161

    Phone: (541) 318-5688

    Fax: (541) 322-5581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-05-04 • Largest payer in this snapshot: Colgate Oral Pharmaceuticals, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-04

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97701)

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Reviews

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Frequently asked questions

What NPI should I save for DR. REX SHANNON GIBSON (D.D.S)?
Save NPI 1174730287 if you need a stable reference for DR. REX SHANNON GIBSON (D.D.S).
Is DR. REX SHANNON GIBSON (D.D.S)'s NPI currently valid?
The extract we use shows DR. REX SHANNON GIBSON (D.D.S) as active.
What does DR. REX SHANNON GIBSON (D.D.S) treat or focus on?
Patients typically see DR. REX SHANNON GIBSON (D.D.S) under the specialty Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where is DR. REX SHANNON GIBSON (D.D.S)'s primary listing?
We display Bend, Oregon because that is what the record indicates for DR. REX SHANNON GIBSON (D.D.S).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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