Organization Active NPI

Olsen Family Chiropractic

  • Chiropractor
  • Gig Harbor, WA
National Provider Identifier
1154524023
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034055 Issued in WA
Legal business name
OLSEN FAMILY CHIROPRACTIC
Practice address
5122 Olympic Dr NW
Suite B-203
Gig Harbor, WA 98335-1767
Phone
(253) 509-3966
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Dr. Jeffery W Olsen, D.C.
Title
Owner
Phone
(253) 509-3966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034085 WA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034055 WA Primary

Addresses

Primary practice location

5122 Olympic Dr NW
Suite B-203
Gig Harbor, WA 98335-1767

Mailing address

5122 Olympic Dr NW
Suite B-203
Gig Harbor, WA 98335-1767
Phone (253) 509-3966

Other names 1

  • Apex Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3309 Perry Ave
Ste 102
Bremerton, WA 98310
Phone (360) 478-9788

5122 Olympic Dr
Ste B203
Gig Harbor, WA 98335
Phone (253) 509-3966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1154524023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW",
            "address_2": "SUITE B-203",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351767",
            "telephone_number": "253-509-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 OLYMPIC DR NW",
            "address_2": "SUITE B-203",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351767",
            "telephone_number": "253-509-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-509-3966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034085",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.