Individual provider Active NPI

Miranda Good, DC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1851893689
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
090511 Issued in IA
Practice address
215 NW 18TH St Ste 101
Ankeny, IA 50023-4282
Phone
(515) 964-1090
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 090511 IA Primary

Addresses

Primary practice location

215 NW 18TH St Ste 101
Ankeny, IA 50023-4282

Mailing address

215 NW 18TH St Ste 101
Ankeny, IA 50023-4282
Phone (515) 964-1090

Other identifiers 1

IdentifierTypeStateIssuer
815290526OtherIATAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180420001997 IA Practitioner - Chiropractic 9032472279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Wellness Chiropractic PLLCGroup PAC ID 1759668254, 2 clinicians

Practice addresses (Care Compare)

215 NW 18TH St
Suite 101
Ankeny, IA 50023-4282
Phone (515) 964-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090511IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Chiropractic, PLLC Chiropractor CurrentSince Apr 24, 2018 Accepting new patients

Locations

215 NW 18th St
Ste 101
Ankeny, IA 50023
Phone (515) 442-5909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1851893689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NW 18TH ST STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234282",
            "telephone_number": "515-964-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NW 18TH ST STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234282",
            "telephone_number": "515-964-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "MIRANDA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "090511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "815290526",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.