Individual provider Active NPI

Robert George Riebesell, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1437170289
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FLCH0004356 Issued in FL
Practice address
1001 Crosspointe Dr
Suite 1
Naples, FL 34110-0946
Phone
(239) 592-0304
Fax
(239) 592-5540
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FLCH0004356 FL Primary

Addresses

Primary practice location

1001 Crosspointe Dr
Suite 1
Naples, FL 34110-0946

Mailing address

1001 Crosspointe Dr
Suite 1
Naples, FL 34110-0946
Phone (239) 592-0304

Other identifiers 1

IdentifierTypeStateIssuer
Q0309OtherFLPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000023 FL Practitioner - Chiropractic 3678508207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLCH0004356FLMDChiropractor
4356FLMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Riebesell Chiropractic Center Inc Chiropractor CurrentSince Jan 31, 2006 Accepting new patients

Locations

1001 Crosspointe Dr
Ste 1
Naples, FL 34110
Phone (239) 254-0003

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1437170289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CROSSPOINTE DR",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100946",
            "telephone_number": "239-592-0304",
            "fax_number": "239-592-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROSSPOINTE DR",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100946",
            "telephone_number": "239-592-0304",
            "fax_number": "239-592-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBESELL",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "FLCH0004356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q0309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.