Dr. Gary Olson DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X9B411 Issued in NY

Legal business name

DR. GARY OLSON DC PC

Practice address

285 Commack Rd
Suite 10
Commack, NY 11725-3403

Phone

(631) 462-0917

Fax

(631) 462-1038

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Olson, DC

Title

Owner

Phone

(631) 462-0917

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1093989188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 COMMACK RD",
            "address_2": "SUITE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253403",
            "telephone_number": "631-462-0917",
            "fax_number": "631-462-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 COMMACK RD",
            "address_2": "SUITE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253403",
            "telephone_number": "631-462-0917",
            "fax_number": "631-462-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY OLSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-462-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X9B411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X7S551",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5897489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy V. Doyle, M.S.
• Dr Denise Burns, DO, PC
• Dr Marc Allen Medical PC
• Dr. Changpae Yu, D.M.D., P.C.
• Dr. David Ackerman DC PC
• Alexandra Drago
• Jessica Dragos, LMHC-D
• Kaia Rose Drezner, LMT
• Christopher Droesch, DPT
• Mary F Drost, RN

• Chiropractor in Commack, NY
• Providers in Commack, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.