Individual provider Active NPI

Christopher Michael Olson, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1386978690
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11138 Issued in TX
Practice address
6500 N Mo Pac Expy
BLDG 3, Ste 3101
Austin, TX 78731-3282
Phone
(512) 491-7772
Fax
(512) 339-6806
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11138 TX Primary

Addresses

Primary practice location

6500 N Mo Pac Expy
BLDG 3, Ste 3101
Austin, TX 78731-3282

Mailing address

6500 N Mo Pac Expy
BLDG 3, Ste 3101
Austin, TX 78731-3282
Phone (512) 491-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11138TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1386978690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N MO PAC EXPY",
            "address_2": "BLDG 3, STE 3101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313282",
            "telephone_number": "512-491-7772",
            "fax_number": "512-339-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MO PAC EXPY",
            "address_2": "BLDG 3, STE 3101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313282",
            "telephone_number": "512-491-7772",
            "fax_number": "512-339-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.