Individual provider Active NPI

Colin Lee Olberding, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1235492968
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0105478 Issued in KS
Practice address
2677 Willakenzie Rd Ste 8
Eugene, OR 97401-4873
Phone
(541) 543-5032
NPI assigned
Jun 18, 2012
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105478 KS Primary

Addresses

Primary practice location

2677 Willakenzie Rd Ste 8
Eugene, OR 97401-4873

Mailing address

445 N Jeff Davis Dr
Fayetteville, GA 30214-1629
Phone (770) 739-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33427CAMDClinical Psychologist
0105478KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic LLC CurrentSince Feb 23, 2025 Accepting new patients
April Lopez Chiropractic. a Professional Corporation Chiropractor Past Accepting new patients
Southeast Georgia Injury Centers Chiropractor Past Accepting new patients
Active Chiropractic, LLC Chiropractor PastSince Dec 10, 2023 Accepting new patients

Locations

2677 Willakenzie Rd
Ste 8
Eugene, OR 97401
Phone (541) 543-5032

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1235492968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141629",
            "telephone_number": "770-739-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 WILLAKENZIE RD STE 8",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014873",
            "telephone_number": "541-543-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBERDING",
        "first_name": "COLIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-12-04",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.