NPIMap

Organization Active NPI

Olsen Clinic of Chiropractic PLC

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1386786283
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001740 Issued in VA
Legal business name
OLSEN CLINIC OF CHIROPRACTIC PLC
Practice address
4233 Colonial Ave
Roanoke, VA 24018-4002
Phone
(540) 772-8000
Fax
(540) 989-0831
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. John Christian Olsen, D.C.NPI 1255474144
Title
Owner
Phone
(540) 772-8000

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 0104001740 VA Primary

Addresses

Primary practice location

4233 Colonial Ave
Roanoke, VA 24018-4002

Mailing address

4233 Colonial Ave
Roanoke, VA 24018-4002
Phone (540) 772-8000

National Provider Directory

National Provider Directory

Locations

4233 Colonial Ave
Roanoke, VA 24018
Phone (540) 772-8000

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1386786283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184002",
            "telephone_number": "540-772-8000",
            "fax_number": "540-989-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184002",
            "telephone_number": "540-772-8000",
            "fax_number": "540-989-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN CLINIC OF CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-772-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.