Individual provider Active NPI

Quincy L Ribellia, DC

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1487694873
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034206 Issued in WA
Practice address
317 N Mission St
Suite 100
Wenatchee, WA 98801-2005
Phone
(509) 888-1598
Fax
(509) 888-1599
NPI assigned
Jun 7, 2006
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034206 WA Primary

Addresses

Primary practice location

317 N Mission St
Suite 100
Wenatchee, WA 98801-2005

Mailing address

264 N Kentucky Ave
East Wenatchee, WA 98802-5241
Phone (509) 888-1580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060809000160 WA Practitioner - Chiropractic 5698797066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Ribellia Family Chiropractic PLLCGroup PAC ID 0042516304, 2 clinicians

Practice addresses (Care Compare)

317 N Mission St
Suite 100
Wenatchee, WA 98801-2072
Phone (509) 888-1598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1118MTMDMental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1487694873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N KENTUCKY AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025241",
            "telephone_number": "509-888-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N MISSION ST",
            "address_2": "SUITE 100",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012005",
            "telephone_number": "509-888-1598",
            "fax_number": "509-888-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBELLIA",
        "first_name": "QUINCY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.