Andrew R Olson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

201 Issued in MS

Practice address

134 Russell Dr
Waynesboro, MS 39367-4409

Phone

(601) 735-9373

Fax

(601) 735-5897

NPI assigned

Sep 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Olson Chiropractic Clinic PA

  • Chiropractor
  • Waynesboro, MS
  • NPI 1386093581
  Authorized official Same address or phone
• Coaker Chiropractic Clinic, P.C.

  • Chiropractor
  • Waynesboro, MS
  • NPI 1558025833
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235220997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 RUSSELL DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393674409",
            "telephone_number": "601-735-9373",
            "fax_number": "601-735-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 RUSSELL DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393674409",
            "telephone_number": "601-735-9373",
            "fax_number": "601-735-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115018",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Brian Moak, DMD
• Ms Hud Pine View LLC (Pine View Health and Rehabilitation Center)
• Mandy Yvette Munn, FNP
• Cynthia C. Odom, CNM, FNP
• Olson Chiropractic Clinic PA
• P&P Counseling Services Waynesboro Branch
• Jaimee Victoria Paige, PHMNP-BC
• Rachel Therese Palmer, D.O.
• Kaiman Will Parker, PA-C
• Patients' Choice Medical Clinic LLC

• Chiropractor in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.