Individual provider Active NPI

Eric Leonard Ribenboim, D.C.

  • Chiropractor
  • Shelbyville, KY
National Provider Identifier
1811043276
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
KY4135 Issued in KY
Practice address
26 Mack Walters Rd
Shelbyville, KY 40065-1738
Phone
(502) 633-1574
Fax
(502) 647-9144
NPI assigned
Jan 26, 2007
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X KY4135 KY Primary
Orthopedic Chiropractor 111NX0800X KY4135 KY

Addresses

Primary practice location

26 Mack Walters Rd
Shelbyville, KY 40065-1738

Mailing address

26 Mack Walters Rd
Shelbyville, KY 40065-1738
Phone (502) 633-1574

Other identifiers 2

IdentifierTypeStateIssuer
1154468932OtherKYGROUP NPI
85000313MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000167 KY Practitioner - Chiropractic 4082633110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Health SolutionsGroup PAC ID 6204017361, 2 clinicians

Practice addresses (Care Compare)

410 N Hurstbourne Pkwy
Louisville, KY 40222-5360
Phone (502) 423-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
KY4135KYMDOrthopedic Chiropractor
4135KYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Health Solutions Chiropractic-Rehab-Wellness Chiropractor CurrentSince Nov 23, 2024 Accepting new patients
Culver Chiropractic Chiropractor PastSince Nov 23, 2024 Accepting new patients

Locations

410 N Hurstbourne Pkwy
Louisville, KY 40222
Phone (502) 423-0500

26 Mack Walters Rd
Shelbyville, KY 40065
Phone (502) 289-5144

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1811043276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MACK WALTERS RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651738",
            "telephone_number": "502-633-1574",
            "fax_number": "502-647-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MACK WALTERS RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651738",
            "telephone_number": "502-633-1574",
            "fax_number": "502-647-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBENBOIM",
        "first_name": "ERIC",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-10-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "KY4135",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "KY",
            "license": "KY4135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1154468932",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000313",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.