Nova Integrated Health, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NOVA INTEGRATED HEALTH, PC

Practice address

2675 N Ankeny Blvd Ste 113
Ankeny, IA 50023-4719

Phone

(515) 289-4549

NPI assigned

Jan 31, 2019

Last updated

Jan 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Vanden Wynboom, DC

Title

Owner, Ceo

Phone

(515) 289-4549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1417412750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 RIDGETOP DR",
            "city": "HUXLEY",
            "state": "IA",
            "postal_code": "501244704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 113",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-289-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA INTEGRATED HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "VANDEN WYNBOOM",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "515-289-4549",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Multi-Specialty Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.