Olson CC Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4859-12 Issued in WI

Legal business name

OLSON CC WELLNESS LLC

Doing business as

Olson Chiropractic

Practice address

307 N Cascade Street
Osceola, WI 54020

Phone

(715) 294-3211

Fax

(715) 417-3103

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Olson, DCNPI 1558627596

Title

Sole Member

Phone

(715) 417-1627

Specialties & licenses 1

Addresses

Other names 1

• Olson Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David James Olson, D.C.

  • Chiropractor
  • Osceola, WI
  • NPI 1558627596
  Medicare reassignment NPD Authorized official
• Mark G Oas, D.C.

  • Chiropractor
  • Eau Claire, WI
  • NPI 1487648093
  NPD (past)
• Rebecca Smith

  • Professional Counselor
  • Osceola, WI
  • NPI 1215488564
  NPD (past)
• Wesley Harold Johnson

  • Chiropractor
  • St Louis Park, MN
  • NPI 1164462099
  NPD (past)
• Daniel James Richter, D.C.

  • Chiropractor
  • Blaine, MN
  • NPI 1154546901
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1255842779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20610 ENFIELD AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550258137",
            "telephone_number": "715-417-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N CASCADE STREET",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-294-3211",
            "fax_number": "715-417-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON CC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "715-417-1627",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4859-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Curtis Nepsund, M.D.
• Neuroimmunology Labs, Inc.
• Kristina Elizabeth Noding, D.M.D.
• Douglas Eugene Nykanen, R.PH.
• Chelsea O'Brien
• Ann M Olson, PT
• David James Olson, D.C.
• Tara Marie Olson, N.P.
• Osceola Area Ambulance (Osceola Area Ambulance Service)
• Osceola Family Dental, LTD

• Chiropractor in Osceola, WI
• Providers in Osceola, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.