Organization Active NPI

Life Wellness Chiropractic LLC

  • Chiropractor
  • Moses Lake, WA
National Provider Identifier
1609040799
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034472 Issued in WA
Legal business name
LIFE WELLNESS CHIROPRACTIC LLC
Practice address
821 E Broadway Ave Ste 18
Moses Lake, WA 98837-5934
Phone
(509) 766-7300
Fax
(509) 766-7400
NPI assigned
Apr 18, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Saul E Ribellia, D.C.NPI 1003975103
Title
Chiropractor
Phone
(509) 766-7300

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 CH00034472 WA Primary

Addresses

Primary practice location

821 E Broadway Ave Ste 18
Moses Lake, WA 98837-5934

Mailing address

821 E Broadway Ave Ste 18
Moses Lake, WA 98837-5934
Phone (509) 766-7300

National Provider Directory

National Provider Directory

Locations

305 E Broadway Ave
Moses Lake, WA 98837
Phone (509) 766-7300

821 E Broadway Ave
Ste 18
Moses Lake, WA 98837
Phone (509) 766-7300

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1609040799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY AVE STE 18",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375934",
            "telephone_number": "509-766-7300",
            "fax_number": "509-766-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY AVE STE 18",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375934",
            "telephone_number": "509-766-7300",
            "fax_number": "509-766-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "RIBELLIA",
        "authorized_official_first_name": "SAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-766-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034472",
            "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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.