Individual provider Active NPI

James P Ribley, DC

  • Chiropractor
  • Brownstown, MI
National Provider Identifier
1679578710
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006165 Issued in MI
Practice address
20960 Telegraph Rd
Brownstown, MI 48174-9319
Phone
(734) 479-2700
Fax
(734) 479-5133
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006165 MI Primary

Addresses

Primary practice location

20960 Telegraph Rd
Brownstown, MI 48174-9319

Mailing address

20960 Telegraph Rd
Brownstown, MI 48174-9319
Phone (734) 479-2700

Other identifiers 1

IdentifierTypeStateIssuer
1369918MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Boston Chiropractic Life Center, Corporation Chiropractor PastSince Nov 23, 2015 Accepting new patients
Consiglio Clinics Chiropractor PastSince Nov 1, 2016 Accepting new patients

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1679578710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20960 TELEGRAPH RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481749319",
            "telephone_number": "734-479-2700",
            "fax_number": "734-479-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20960 TELEGRAPH RD",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481749319",
            "telephone_number": "734-479-2700",
            "fax_number": "734-479-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBLEY",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369918",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.