Individual provider Active NPI

Nicholas Jepsen, DC

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1336707058
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
096784 Issued in IA
Practice address
2600 University Ave Ste 212
West Des Moines, IA 50266-1462
Phone
(515) 223-1222
Fax
(515) 223-1221
NPI assigned
May 29, 2019
Last updated
May 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 096784 IA Primary

Addresses

Primary practice location

2600 University Ave Ste 212
West Des Moines, IA 50266-1462

Mailing address

2600 University Ave Ste 212
West Des Moines, IA 50266-1462
Phone (515) 223-1222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519002103 IA Practitioner - Chiropractic 3476937202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2019
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
Bowman Chiropractic LLC Chiropractor PastSince Feb 10, 2017 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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1336707058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 UNIVERSITY AVE STE 212",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661462",
            "telephone_number": "515-223-1222",
            "fax_number": "515-223-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 UNIVERSITY AVE STE 212",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661462",
            "telephone_number": "515-223-1222",
            "fax_number": "515-223-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "096784",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2019; 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.