Individual provider Active NPI

Michael Olson, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1033363874
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002414A Issued in IN
Practice address
4625 S Emerson
Indianapolis, IN 46203-0000
Phone
(317) 522-2303
Fax
(317) 522-2304
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002414A IN Primary

Addresses

Primary practice location

4625 S Emerson
Indianapolis, IN 46203-0000

Mailing address

4625 S Emerson
Indianapolis, IN 46203-0000
Phone (317) 522-2303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000076 IN Practitioner - Chiropractic 1052471745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002414AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health 1St Chiropractic of Plainfield Inc. Chiropractor CurrentSince Feb 15, 2017 Accepting new patients
Health First Physical Therapy, Inc Chiropractor CurrentSince Aug 1, 2018 Accepting new patients
Community Arts Chiropractic Chiropractor PastSince Feb 15, 2017 Accepting new patients

Locations

7408 W State Road 28
Ste 4
Elwood, IN 46036
Phone (765) 557-8569

1708 Melody Ln
Greenfield, IN 46140
Phone (317) 467-6321

6326 Rucker Rd
Ste F
Indianapolis, IN 46220
Phone (317) 253-1644

1660 E Main St
Ste 103
Plainfield, IN 46168
Phone (317) 837-7100

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1033363874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S EMERSON",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462030000",
            "telephone_number": "317-522-2303",
            "fax_number": "317-522-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 S EMERSON",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462030000",
            "telephone_number": "317-522-2303",
            "fax_number": "317-522-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002414A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.