Individual provider Active NPI

Adrian Olivares, DC

  • Chiropractor
  • McKinney, TX
National Provider Identifier
1023106101
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8066 Issued in TX
Practice address
6675 Mediterranean Dr
Suite 404
McKinney, TX 75070-5573
Phone
(214) 838-8434
Fax
(888) 507-6119
NPI assigned
Oct 11, 2006
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8066 TX Primary

Addresses

Primary practice location

6675 Mediterranean Dr
Suite 404
McKinney, TX 75070-5573

Mailing address

916 Inland LN
McKinney, TX 75070-3857
Phone (214) 325-5037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002769 TX Practitioner - Chiropractic 9335563022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Elite Performance ChiropracticGroup PAC ID 9830325232, 4 clinicians

Practice addresses (Care Compare)

6220 Virginia Pkwy
Suite 400
McKinney, TX 75071-4401
Phone (972) 542-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Chiropractic Chiropractor CurrentSince Dec 15, 2024 Accepting new patients
Austin Lewis PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

6220 Virginia Pkwy
Ste 400
McKinney, TX 75071
Phone (512) 309-4948

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1023106101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 INLAND LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703857",
            "telephone_number": "214-325-5037",
            "fax_number": "214-943-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR",
            "address_2": "SUITE 404",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705573",
            "telephone_number": "214-838-8434",
            "fax_number": "888-507-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.