Organization Active NPI

Chiropractic Collective PLLC

Doing business as True Roots Chiropractic

  • Chiropractor
  • Norwalk, IA
National Provider Identifier
1851972582
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC COLLECTIVE PLLC
Doing business as
True Roots Chiropractic
Practice address
2251 Sunset Dr Ste 4
Norwalk, IA 50211-9114
Phone
(515) 954-4701
NPI assigned
Apr 15, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Branden Miller, DCNPI 1013320860
Title
Owner
Phone
(515) 954-4701

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2251 Sunset Dr Ste 4
Norwalk, IA 50211-9114

Mailing address

2251 Sunset Dr Ste 4
Norwalk, IA 50211-9114
Phone (515) 954-4701

Other names 1

  • True Roots Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422001370 IA Part B Supplier - Clinic/Group Practice 7113335621 Receives reassigned benefits from 1 practitioner
Practice locations: Norwalk, IA

National Provider Directory

National Provider Directory

Locations

2251 Sunset Dr
Ste 4
Norwalk, IA 50211
Phone (515) 954-4701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1851972582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 SUNSET DR STE 4",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119114",
            "telephone_number": "515-954-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 SUNSET DR STE 4",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119114",
            "telephone_number": "515-954-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-954-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Roots Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.