Organization Active NPI

Superior Integrated Health, LLC

  • Physical Medicine & Rehabilitation Physician
  • West Des Moines, IA
National Provider Identifier
1659804904
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SUPERIOR INTEGRATED HEALTH, LLC
Practice address
6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5872
Phone
(515) 440-0047
Fax
(515) 440-0052
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Brandon Vinzant, DCNPI 1043515810
Title
Owner
Phone
(515) 440-0047

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5872

Mailing address

6150 Village View Dr
Suite 107
West Des Moines, IA 50266-5872
Phone (515) 440-0047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170426001762 IA Part B Supplier - Clinic/Group Practice 2860779030 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1659804904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 VILLAGE VIEW DR",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665872",
            "telephone_number": "515-440-0047",
            "fax_number": "515-440-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 VILLAGE VIEW DR",
            "address_2": "SUITE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665872",
            "telephone_number": "515-440-0047",
            "fax_number": "515-440-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INTEGRATED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "VINZANT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-440-0047",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.