Iowa Super Clean LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

IOWA SUPER CLEAN LLC

Practice address

817 E Miller Ave
Des Moines, IA 50315-2954

Phone

(515) 988-9575

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Mayra Lozoya

Title

Ceo

Phone

(515) 988-9575

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1881236107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E MILLER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E MILLER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503152954",
            "telephone_number": "515-988-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA SUPER CLEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "LOZOYA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-988-9575"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "onorio.montalvo@icloud.com",
            "affiliation": "N",
            "address_1": "817 E Miller Ave",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503152954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Iowa Physicians Clinic Medical Foundation (Iowa Heatlh Physicians)
• Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
• Iowa Spine Care PLC
• Mohammad S Iqbal, MD
• Marselis Irving, MSN
• Rhonda Irving, CNP
• Benjamin Isaac, DO
• Keilin Isaacson, ARNP

• Social Worker in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.