NPIMap

Organization Active NPI

South Point Clinic of Chiropractic

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1346513314
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002625A Issued in IN
Legal business name
SOUTH POINT CLINIC OF CHIROPRACTIC
Practice address
2 Walter Scholer Dr Ste C
Lafayette, IN 47909-6382
Phone
(763) 245-0336
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Rob Maurice Olson, D.C.NPI 1497035570
Title
President
Phone
(763) 245-0336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002625A IN Primary

Addresses

Primary practice location

2 Walter Scholer Dr Ste C
Lafayette, IN 47909-6382

Mailing address

2 Walter Scholer Dr Ste C
Lafayette, IN 47909-6382
Phone (763) 245-0336

National Provider Directory

National Provider Directory

Locations

2 Walter Scholer Dr
Ste C
Lafayette, IN 47909
Phone (763) 245-0336

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1346513314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WALTER SCHOLER DR STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479096382",
            "telephone_number": "763-245-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WALTER SCHOLER DR STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479096382",
            "telephone_number": "763-245-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POINT CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-245-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002625A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.