Individual provider Active NPI

Rob Maurice Olson, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1497035570
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002625A Issued in IN
Practice address
9713 Legare St
Fishers, IN 46038-8583
Phone
(651) 236-7009
NPI assigned
Aug 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002625A IN Primary

Addresses

Primary practice location

9713 Legare St
Fishers, IN 46038-8583

Mailing address

9713 Legare St
Fishers, IN 46038-8583

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
08002625AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health Medical Center CurrentSince Sep 11, 2022 Accepting new patients
Back in Motion Chiropractic LLC Chiropractor CurrentSince Nov 17, 2024 Accepting new patients
South Point Clinic of Chiropractic Chiropractor PastSince Jan 13, 2012 Accepting new patients

Locations

1995 E Main St
Danville, IN 46122
Phone (317) 445-5100

2122 Veterans Memorial Pkwy S
Ste C
Lafayette, IN 47909
Phone (765) 227-2454

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1497035570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 LEGARE ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 LEGARE ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388583",
            "telephone_number": "651-236-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROB",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002625A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.