Kenneth J Olson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008765 Issued in IL

Practice address

2116 W Galena Blvd
Suite 112
Aurora, IL 60506-3533

Phone

(630) 897-1895

Fax

(630) 897-2043

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olson Chiropractic IncGroup PAC ID 9537169263, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Olson Chiropractic, Inc.

  • Chiropractor
  • Aurora, IL
  • NPI 1932292992
  Medicare reassignment Care Compare group NPD Authorized official
• Anodyne of Muncie LLC

  • General Practice Physician
  • Muncie, IN
  • NPI 1952994584
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1417044363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 W GALENA BLVD",
            "address_2": "SUITE 112",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063533",
            "telephone_number": "630-897-1895",
            "fax_number": "630-897-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W GALENA BLVD",
            "address_2": "SUITE 112",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063533",
            "telephone_number": "630-897-1895",
            "fax_number": "630-897-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon C Ollee, MD
• Bradley Michael Olsen
• Kelly Elise Olsen, PA-C
• Olson Chiropractic, Inc.
• Kara Olson
• Megan Marie Olson, M.A, CCC-SLP/L
• Bridget Olu-Alabi, SLP
• Olamidoyin Phebian Olufade, APRN
• Deisi Olvera
• Sana Hussain Omer, PT, DPT

• Chiropractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.