CBG1 LLC
NPI 1790672178
Chiropractor in Peoria, AZ
About Cbg1 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CBG1 LLC (NPI 1790672178), doing business as Nuspine Lake Pleasant, is a healthcare organization registered as a chiropractor in Peoria, Arizona and active in the NPI registry since June 2025. The organization lists Carolyn B Good, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cbg1 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cbg1 LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cbg1 LLC's NPI number?
The NPI number for Cbg1 LLC is 1790672178. It was assigned to this organization in the NPPES registry on June 19, 2025. The provider is doing business as NuSpine Lake Pleasant.
Where is Cbg1 LLC located?
Cbg1 LLC is located at 9746 W Happy Valley Rd Ste 2, Peoria, AZ 85383. The listed phone number is (623) 624-7411.
What is Cbg1 LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Cbg1 LLC enrolled in Medicare?
Yes. Cbg1 LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cbg1 LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Cbg1 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cbg1 LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cbg1 Llc · NPI 1790672178
Chiropractor organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since June 19, 2025.
## Identity
- **NPI:** 1790672178 (Entity type: Organization)
- **Enumerated:** June 19, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** NuSpine Lake Pleasant (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Carolyn Good, OWNER
## Practice location
- **Address:** 9746 W HAPPY VALLEY RD STE 2, Peoria, AZ 85383-1522
- **Phone:** (623) 624-7411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790672178) · Data from the CMS NPPES public registry.