Organization Active NPI

Ribellia Chiropractic Enterprises PLLC

Doing business as Life Wellness Chiropractic

  • Chiropractor
  • Moses Lake, WA
National Provider Identifier
1457965022
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIBELLIA CHIROPRACTIC ENTERPRISES PLLC
Doing business as
Life Wellness Chiropractic
Practice address
305 E Broadway Ave
Moses Lake, WA 98837-1719
Phone
(509) 766-8428
Fax
(509) 766-7327
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Saul Eldon Ribellia, DCNPI 1003975103
Title
Owner & Doctor
Phone
(509) 766-8428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 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
Phone (509) 766-8428

Other names 1

  • Life Wellness Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201002002300 WA Part B Supplier - Clinic/Group Practice 1052730488 Receives reassigned benefits from 2 practitioners
Practice locations: Moses Lake, WA

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": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1457965022",
    "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",
            "telephone_number": "509-766-8428",
            "fax_number": "509-766-7327"
        },
        {
            "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": "509-766-8428",
            "fax_number": "509-766-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIBELLIA CHIROPRACTIC ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "RIBELLIA",
        "authorized_official_first_name": "SAUL",
        "authorized_official_middle_name": "ELDON",
        "authorized_official_title_or_position": "OWNER & DOCTOR",
        "authorized_official_telephone_number": "509-766-8428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Wellness Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 1, 2020; 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.