Active NPI
Central Iowa Pain & Wellness LLC
- Pain Clinic/Center
- Ames, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- CENTRAL IOWA PAIN & WELLNESS LLC
- Practice address
- 3600 University Blvd Ste 102
Ames, IA 50010-8674 - Phone
- (515) 493-7002
- NPI assigned
- Nov 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Miller, CRNA, ARNP
- Title
- Ceo/Manager
- Phone
- (785) 608-7659
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
3600 University Blvd Ste 102
Ames, IA 50010-8674
Mailing address
2405 N Dakota Ave
Ames, IA 50014-9019
Phone (785) 608-7659
Other practice location 1
3 N 17th St Ste 2
Fort Dodge, IA 50501-4211
Phone (515) 493-7002
National Provider Directory
National Provider Directory- Tax ID family
- Central Iowa Pain Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Integrative Medicine Physician
- Ames, IA
- NPI 1821966334
Locations
3600 University Blvd
Ste 102
Ames, IA 50010
Phone (515) 412-4784
3 N 17th St
Ste 2
Fort Dodge, IA 50501
Phone (515) 493-7002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Ames, IA
- NPI 1992110498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1306661780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 N DAKOTA AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500149019",
"telephone_number": "785-608-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 UNIVERSITY BLVD STE 102",
"city": "AMES",
"state": "IA",
"postal_code": "500108674",
"telephone_number": "515-493-7002"
}
],
"practiceLocations": [
{
"address_1": "3 N 17th St Ste 2",
"address_purpose": "LOCATION",
"city": "Fort Dodge",
"state": "IA",
"postal_code": "505014211",
"country_code": "US",
"telephone_number": "515-493-7002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL IOWA PAIN & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO/MANAGER",
"authorized_official_telephone_number": "785-608-7659",
"authorized_official_credential": "CRNA, ARNP"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.