Individual provider Active NPI

Kyle A True, D.C.

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1588977219
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002585A Issued in IN
Practice address
3070 S Walnut St
#B
Bloomington, IN 47401-7333
Phone
(812) 287-8281
NPI assigned
Jul 22, 2010
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8159 AZ
Chiropractor 111N00000X 08002585A IN Primary

Addresses

Primary practice location

3070 S Walnut St
#B
Bloomington, IN 47401-7333

Mailing address

3070 S Walnut St
#B
Bloomington, IN 47401-7333
Phone (812) 287-8281

Other identifiers 2

IdentifierTypeStateIssuer
08002585AOtherINSTATE LICENSE
1750646998OtherINTAX ID - CLINIC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120809000837 IN Practitioner - Chiropractic 0749306918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002585AINMDChiropractor
8129AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
True Health Chiropractic and Sports Rehab, PLC Chiropractor PastSince Jul 23, 2010 Accepting new patients
Advantage Chiropractic Clinic LLC 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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1588977219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 S WALNUT ST",
            "address_2": "#B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017333",
            "telephone_number": "812-287-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 S WALNUT ST",
            "address_2": "#B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017333",
            "telephone_number": "812-287-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUE",
        "first_name": "KYLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8159",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002585A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "08002585A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID - CLINIC",
            "identifier": "1750646998",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.