Individual provider Active NPI

Tara Olivieri, D.C.

  • Chiropractor
  • Newport Beach, CA
National Provider Identifier
1295869626
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30501 Issued in CA
Practice address
250 Newport Center Dr Ste 102
Newport Beach, CA 92660-7517
Phone
(949) 760-5437
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30501 CA Primary

Addresses

Primary practice location

250 Newport Center Dr Ste 102
Newport Beach, CA 92660-7517

Mailing address

250 Newport Center Dr Ste 102
Newport Beach, CA 92660-7517
Phone (949) 760-5437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000313 CA Practitioner - Chiropractic 5890988448 Reassigns benefits to 1 organization
Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Newport Ctr Dr
Suite 102
Newport Beach, CA 92660-7517
Phone (949) 760-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30501CAMDChiropractor
30501CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Olivieri Chiropractic Inc. Chiropractor CurrentSince Dec 27, 2023 Accepting new patients
Angell Chiropractic & Wellness Center, Inc. Chiropractor Past Accepting new patients

Locations

250 Newport Center Dr
Ste 102
Newport Beach, CA 92660
Phone (949) 760-5437

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1295869626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607517",
            "telephone_number": "949-760-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NEWPORT CENTER DR STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607517",
            "telephone_number": "949-760-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.