Active NPI
Eric Leonard Ribenboim, D.C.
- Chiropractor
- Shelbyville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- KY4135
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154468932 | Other | KY | GROUP NPI |
| 85000313 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY4135 | KY | MD | Orthopedic Chiropractor |
| 4135 | KY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Health Solutions Chiropractic-Rehab-Wellness | Chiropractor | Current | Accepting new patients |
| Culver Chiropractic | Chiropractor | Past | 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.
-
dba Shelby Spine Center Chiropractic & Rehab
- Chiropractor
- Louisville, KY
- NPI 1124325824
-
- Orthopedic Chiropractor
- Shelbyville, KY
- NPI 1154468932
-
- Chiropractor
- Tazewell, VA
- NPI 1477675866
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.