Organization Active NPI

Edward P. Olff Chiropractic Inc.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1467664102
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18575 Issued in CA
Legal business name
EDWARD P. OLFF CHIROPRACTIC INC.
Practice address
5665 N Blackstone Ave Ste 107
Fresno, CA 93710-5000
Phone
(559) 449-9777
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Edward P Olff, CHIROPRACTORNPI 1447246343
Title
Owner
Phone
(559) 449-9777

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 DC18575 CA Primary

Addresses

Primary practice location

5665 N Blackstone Ave Ste 107
Fresno, CA 93710-5000

Mailing address

5665 N Blackstone Ave Ste 107
Fresno, CA 93710-5000
Phone (559) 449-9777

Other names 1

  • Blackstone Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000622 CA Part B Supplier - Clinic/Group Practice 3779770441 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

5665 N Blackstone Ave
Ste 10
Fresno, CA 93710

5665 N Blackstone Ave
Ste 107
Fresno, CA 93710
Phone (559) 449-9777

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1467664102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 N BLACKSTONE AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105000",
            "telephone_number": "559-449-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 N BLACKSTONE AVE STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105000",
            "telephone_number": "559-449-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD P. OLFF CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "OLFF",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-449-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackstone Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.