Organization Active NPI

100 Percent Chiropractic Ribley, LLC

  • Chiropractor
  • Canton, GA
National Provider Identifier
1144792789
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 PERCENT CHIROPRACTIC RIBLEY, LLC
Practice address
9266 Knox Bridge Hwy Ste 200
Canton, GA 30114-4627
Phone
(734) 673-7431
NPI assigned
Dec 20, 2018
Last updated
Dec 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jim Ribley
Title
Owner
Phone
(719) 630-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

9266 Knox Bridge Hwy Ste 200
Canton, GA 30114-4627

Mailing address

9266 Knox Bridge Hwy Ste 200
Canton, GA 30114-4627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190815002944 GA Part B Supplier - Clinic/Group Practice 5193052900 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1144792789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9266 KNOX BRIDGE HWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9266 KNOX BRIDGE HWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144627",
            "telephone_number": "734-673-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 PERCENT CHIROPRACTIC RIBLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "RIBLEY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-630-4936"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.