Center for Maximized Living, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

07055 Issued in IA

Legal business name

CENTER FOR MAXIMIZED LIVING, LLC

Practice address

8671 Northpark CT.
Johnston, IA 50131

Phone

(515) 278-2782

Fax

(515) 278-0194

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brett R McDonough, D.C.NPI 1497893424

Title

Ceo

Phone

(515) 278-2782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Russell McDonough, D.C.

  • Chiropractor
  • Clive, IA
  • NPI 1497893424
  Medicare reassignment NPD Authorized official
• Amanda J Moore, D.C.

  • Chiropractor
  • Kihei, HI
  • NPI 1750610812
  NPD (past)

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1225293426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 NORTHPARK CT.",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "50131",
            "telephone_number": "515-278-2782",
            "fax_number": "515-278-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 NORTHPARK CT.",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "50131",
            "telephone_number": "515-278-2782",
            "fax_number": "515-278-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MAXIMIZED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-278-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "07055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careryde Inc
• Justin Carlyle, DPT
• Davis Joelle Carmack, OTR/L
• Carolus Chiropractic & Wellness Center
• Kyler Case, DC
• Central Iowa Hospital Corporation
• Central States Mobility Inc
• Daisy Alejandra Cerna Poster
• Lorraine Chidester, APRN, PMHNP
• Childserve Community Options, Inc.

• Chiropractor in Johnston, IA
• Providers in Johnston, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.