Individual provider Active NPI

George Robert Olar, D.C.

  • Chiropractor
  • Lacey, WA
National Provider Identifier
1285780395
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034655 Issued in WA
Practice address
5101 Lacey Blvd SE
Lacey, WA 98503-2441
Phone
(360) 923-0360
Fax
(360) 923-1360
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034655 WA Primary

Addresses

Primary practice location

5101 Lacey Blvd SE
Lacey, WA 98503-2441

Mailing address

PO Box 8310
Lacey, WA 98509-8310
Phone (360) 923-0360

Other names 1

  • Prof. 360 Chiropractic PS Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000402 WA Practitioner - Chiropractic 9436259595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Chiropractic PSGroup PAC ID 1052493780, 2 clinicians

Practice addresses (Care Compare)

5101 Lacey Blvd SE
Lacey, WA 98503-2441
Phone (360) 923-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360 Chiropractic PS CurrentSince Feb 4, 2008 Accepting new patients
Premier Chiropractic Chiropractor Past Accepting new patients

Locations

5101 Lacey Blvd SE
Lacey, WA 98503
Phone (360) 923-0360

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1285780395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985098310",
            "telephone_number": "360-923-0360",
            "fax_number": "360-923-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 LACEY BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032441",
            "telephone_number": "360-923-0360",
            "fax_number": "360-923-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAR",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "360",
            "last_name": "CHIROPRACTIC PS",
            "prefix": "PROF.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.