Individual provider Active NPI

Victor M. Ribeiro, D.C.

  • Chiropractor
  • Bridgeport, CT
National Provider Identifier
1659322386
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001675 Issued in CT
Practice address
4444 Main St
Bridgeport, CT 06606-1820
Phone
(203) 371-4393
Fax
(203) 371-8584
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001675 CT Primary

Addresses

Primary practice location

4444 Main St
Bridgeport, CT 06606-1820

Mailing address

4444 Main St
Bridgeport, CT 06606-1820
Phone (203) 371-4393

Other identifiers 1

IdentifierTypeStateIssuer
004261658MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060608000053 CT Practitioner - Chiropractic 5799797825 Reassigns benefits to 1 organization
Practice locations: Bridgeport, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4444 Main St
Bridgeport, CT 06606-1820
Phone (203) 374-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1675CTMDProfessional Counselor
001675CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Pit Chiropractic Center, LLC Chiropractor CurrentSince Oct 28, 2025 Accepting new patients
Chiropractic Associates of Bridgeport Chiropractor PastSince Sep 15, 2013 Accepting new patients

Locations

50 Federal Rd
#1
Danbury, CT 06810
Phone (203) 791-9111

Organizations & group practices 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1659322386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061820",
            "telephone_number": "203-371-4393",
            "fax_number": "203-371-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061820",
            "telephone_number": "203-371-4393",
            "fax_number": "203-371-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "VICTOR",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004261658",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.