Chad Allan Olson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

640 Issued in ND

Practice address

906 Main St
Lisbon, ND 58054-4333

Phone

(701) 683-4582

Fax

(701) 683-5814

NPI assigned

Aug 31, 2005

Last updated

Sep 25, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lisbon Chiropractic Clinic PLLCGroup PAC ID 8022078146, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: drolson@lisbonchiropractic.myhcdirect.com

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.

• Lisbon Chiropractic Clinic PLLC

  • Chiropractor
  • Lisbon, ND
  • NPI 1285627521
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1073506499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MAIN ST",
            "address_2": "PO BOX 255",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544333",
            "telephone_number": "701-683-4582",
            "fax_number": "701-683-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 MAIN ST",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580544333",
            "telephone_number": "701-683-4582",
            "fax_number": "701-683-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHAD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN-BLUE SELECT",
            "identifier": "31B460L",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10561",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Parkside Home (Parkside Lutheran Home, Inc.)
• Ransom County Social Services
• Tricia Ann Roesler, LRD, CDE

• Chiropractor in Lisbon, ND
• Providers in Lisbon, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.