{"npi":"1063418176","type":"NPI-1","status":"active","name":{"display":"John Gibbs MD","other":[],"first":"JOHN","last":"GIBBS","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"2086X0206X","description":"Surgical Oncology Physician","primary":false,"state":"NY","license":"189632"},{"code":"208600000X","description":"Surgery","primary":true,"state":"NJ","license":"25MA09547000"}]},"addresses":[{"purpose":"LOCATION","street_1":"CORNER OF ROUTE N12 AND N7","city":"FORT DEFIANCE","state":"AZ","postal_code":"86504","country_code":"US","phone":"7168452300"},{"purpose":"MAILING","street_1":"CORNER OF ROUTE N12 AND N7","city":"FORT DEFIANCE","state":"AZ","postal_code":"86504","country_code":"US"}],"license":{"state":"NJ","number":"25MA09547000"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01706385","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141201000107","type_code":"14-91","type_desc":"PRACTITIONER - SURGICAL ONCOLOGY","state":"NJ","pac_id":"2668401373"},{"enrlmt_id":"I20250107001386","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"TX","pac_id":"2668401373"}]},"enumeration_date":"2005-06-23","last_updated":"2025-01-10","_meta":{"source":"NPPES","snapshot_date":"2025-01-10","doc_url":"https://findmynpi.com/api"}}