Active NPI
Family Lifestyle Chiropractic PLLC
- Chiropractor
- Moses Lake, WA
National Provider Identifier
1205074416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 602889847
- Legal business name
- FAMILY LIFESTYLE CHIROPRACTIC PLLC
- Practice address
- 305 E Broadway Ave
Moses Lake, WA 98837-1719 - Phone
- (509) 766-7300
- NPI assigned
- Jan 26, 2009
- Last updated
- Feb 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saul Eldon Ribellia, D.C.
- Title
- Chiropractor
- Phone
- (509) 766-8428
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 602889847 | WA | Primary |
Addresses
Primary practice location
305 E Broadway Ave
Moses Lake, WA 98837-1719
Mailing address
305 E Broadway Ave
Moses Lake, WA 98837-1719
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Moses Lake, WA
- NPI 1003975103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550016000000",
"number": "1205074416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E BROADWAY AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E BROADWAY AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988371719",
"telephone_number": "509-766-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY LIFESTYLE CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-26",
"last_updated": "2019-02-13",
"status": "A",
"authorized_official_last_name": "RIBELLIA",
"authorized_official_first_name": "SAUL",
"authorized_official_middle_name": "ELDON",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "509-766-8428",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "602889847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.