Olson Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2573 Issued in MN

Legal business name

OLSON CHIROPRACTIC CLINIC, INC

Practice address

130 Lake Boulevard South
Buffalo, MN 55313-1448

Phone

(763) 682-1849

Fax

(763) 684-1864

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Dale Olson, DCNPI 1780778274

Title

President

Phone

(763) 682-1849

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Dale Olson, DC

  • Chiropractor
  • Buffalo, MN
  • NPI 1780778274
  Medicare reassignment Care Compare group NPD Authorized official
• Ryan Jay Olson, D.C.

  • Chiropractor
  • Buffalo, MN
  • NPI 1194029173
  Medicare reassignment Care Compare group NPD
• Brian M Harrison, DC

  • Chiropractor
  • Buffalo, MN
  • NPI 1780792044
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1316075799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAKE BLVD S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131448",
            "telephone_number": "763-682-1849",
            "fax_number": "763-684-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LAKE BOULEVARD SOUTH",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131448",
            "telephone_number": "763-682-1849",
            "fax_number": "763-684-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-682-1849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464528600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4C321OL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas O'Rourke, LGSW
• Ciara Nicole Oawster, DPT
• Carol Ann Obrien, MSW LICSW
• Brett G Oden, MD
• Mario Alberto Olguin Medina, DDS
• Dale Arlen Olson
• Katie Olson, RD, LD
• Mark Dale Olson, DC
• Ryan Jay Olson, D.C.
• Rachal A Omana

• Chiropractor in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.