Organization Active NPI

Ep True Chiropractic Inc.

  • Chiropractor
  • West Des Moines, IA
National Provider Identifier
1386859304
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06367 Issued in IA
Legal business name
EP TRUE CHIROPRACTIC INC.
Practice address
1905 Ep True Pkwy Ste 207
West Des Moines, IA 50265-7056
Phone
(515) 309-3791
Fax
(515) 309-3792
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Dr. Kevin Dennis Miller, D.C.NPI 1144208042
Title
Owner
Phone
(515) 309-3791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 06367 IA Primary

Addresses

Primary practice location

1905 Ep True Pkwy Ste 207
West Des Moines, IA 50265-7056

Mailing address

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

Other practice location 1

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

Other practice location 2

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

Other identifiers 2

IdentifierTypeStateIssuer
1220715MedicaidIA
45614OtherIABLUE CROSS AND BLUE SHIEL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001385 IA Part B Supplier - Clinic/Group Practice 8325030950 Receives reassigned benefits from 4 practitioners
Practice locations: Creston, IA; West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

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

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

1903 Ep True Pkwy
Ste 306
West Des Moines, IA 50265

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1386859304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 EP TRUE PKWY STE 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 STE 207",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502657056",
            "telephone_number": "515-309-3791",
            "fax_number": "515-309-3792"
        }
    ],
    "practiceLocations": [
        {
            "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "organization_name": "EP TRUE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-309-3791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1220715",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "45614",
            "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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.