Kenneth Clayton Oliver, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31984 Issued in CA

Practice address

177 Bovet Rd.
Suite 150
San Mateo, CA 94402

Phone

(650) 375-2545

Fax

(650) 655-6611

NPI assigned

Sep 13, 2011

Last updated

Sep 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Personal Choice Medical Center Inc

  dba Alpine Clinic

  • Nurse Practitioner
  • Lehi, UT
  • NPI 1528197597
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1033491386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BOVET RD.",
            "address_2": "SUITE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "650-375-2545",
            "fax_number": "650-655-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BOVET RD.",
            "address_2": "SUITE 150",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "650-375-2545",
            "fax_number": "650-655-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KENNETH",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Angela Oliden, RN
• Briana Oliva
• Lua Oliva
• Samantha Oliveira, PA-C, MS, MPH
• Diane Oliver, MD
• David Olsen, D.C.
• Thomas L Olsen, LMFT
• Jaclyn M Olson
• Robert P. Olson, D.D.S.
• Joseph A Onate, PHN, RN

• Chiropractor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.