Active NPI
Donald Wayne Olson, D.C.
- Chiropractor
- Auburn, WA
National Provider Identifier
1033274154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1559
- Practice address
- 1020 A St SE
Suite 4
Auburn, WA 98002-6063 - Phone
- (253) 939-0909
- Fax
- (253) 939-1813
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1559 | WA | Primary |
Addresses
Primary practice location
1020 A St SE
Suite 4
Auburn, WA 98002-6063
Mailing address
1020 A St SE
Suite 4
Auburn, WA 98002-6063
Phone (253) 939-0909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032779 | Medicaid | WA | |
| 8868653 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1020 A St SE
Auburn, WA 98002-6063
Phone (253) 939-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Street Clinic of Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
1020 A St SE
Ste 4
Auburn, WA 98002
Phone (253) 939-0909
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Auburn, WA
- NPI 1083779102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1033274154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 A ST SE",
"address_2": "SUITE 4",
"city": "AUBURN",
"state": "WA",
"postal_code": "980026063",
"telephone_number": "253-939-0909",
"fax_number": "253-939-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 A ST SE",
"address_2": "SUITE 4",
"city": "AUBURN",
"state": "WA",
"postal_code": "980026063",
"telephone_number": "253-939-0909",
"fax_number": "253-939-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DONALD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "1559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032779",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8868653",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.