Individual provider Active NPI

Kevin Dennis Miller, D.C.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1144208042
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06367 Issued in IA
Practice address
1905 Ep True Pkwy
#207
West Des Moines, IA 50265-7000
Phone
(515) 309-3791
Fax
(515) 309-3792
NPI assigned
Jan 3, 2006
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06367 IA Primary

Addresses

Primary practice location

1905 Ep True Pkwy
#207
West Des Moines, IA 50265-7000

Mailing address

1905 Ep True Pkwy
Suite 207
West Des Moines, IA 50265-7056
Phone (515) 309-3791

Other practice location 1

133 W Main St
Saint Charles, IA 50240-7700
Phone (515) 309-3791

Other practice location 2

300 Russell St
Creston, IA 50801-3023
Phone (515) 309-3791

Other identifiers 1

IdentifierTypeStateIssuer
3220715MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000463 IA Practitioner - Chiropractic 1557353182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ep True Chiropractic Inc.Group PAC ID 8325030950, 4 clinicians

Practice addresses (Care Compare)

1905 Ep True Pkwy
Suite 207
West Des Moines, IA 50265-7056
Phone (515) 309-3791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Chiropractic, PLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1144208042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 EP TRUE PKWY",
            "address_2": "SUITE 207",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657056",
            "telephone_number": "515-309-3791",
            "fax_number": "515-309-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 EP TRUE PKWY",
            "address_2": "#207",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657000",
            "telephone_number": "515-309-3791",
            "fax_number": "515-309-3792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "IA",
            "postal_code": "502407700",
            "country_code": "US",
            "telephone_number": "515-309-3791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Russell St",
            "address_purpose": "LOCATION",
            "city": "Creston",
            "state": "IA",
            "postal_code": "508013023",
            "country_code": "US",
            "telephone_number": "515-309-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3220715",
            "state": "IA"
        }
    ],
    "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 May 21, 2025; 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.