CBG1 LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CBG1 LLC

Practice address

9746 W Happy Valley Rd Ste 2
Peoria, AZ 85383-1522

Phone

(623) 624-7411

NPI assigned

Jun 19, 2025

Organization subpart

No

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

Authorized official

Name

Carolyn B Good, DCNPI 1801824172

Title

Owner

Phone

(623) 624-7411

Specialties & licenses 1

Addresses

Other names 1

• NuSpine Lake Pleasant Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Carolyn B Good, DC

  • Chiropractor
  • Peoria, AZ
  • NPI 1801824172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1790672178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9746 W HAPPY VALLEY RD STE 2",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831522",
            "telephone_number": "623-624-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9746 W HAPPY VALLEY RD STE 2",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831522",
            "telephone_number": "623-624-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBG1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-624-7411",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuSpine Lake Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marianne Denise Cayer, PA-C
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• Tyler A Centner, PT

• Chiropractor in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.