Wayne Merlin Olsen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4821942-1202 Issued in UT

Practice address

1355 N Main St
Suite 6
Bountiful, UT 84010-5981

Phone

(801) 298-9190

Fax

(801) 298-2451

NPI assigned

Aug 5, 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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bio Energy Synergy Technology Chiropractic L.L.C.

  • Chiropractor
  • Bountiful, UT
  • NPI 1841489424
  NPD (past)
• Bountiful Vision Plaza PC

  • Optometrist
  • Bountiful, UT
  • NPI 1558434613
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1497764914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N MAIN ST",
            "address_2": "SUITE 6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105981",
            "telephone_number": "801-298-9190",
            "fax_number": "801-298-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N MAIN ST",
            "address_2": "SUITE 6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105981",
            "telephone_number": "801-298-9190",
            "fax_number": "801-298-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "WAYNE",
        "middle_name": "MERLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "4821942-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC EMPLOYEES HEALTH P",
            "identifier": "62884",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "ZZZZZZZ",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL BENEFITS",
            "identifier": "691629",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "48219421200001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107003489101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "48219421200001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00063641",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessalyn Ollerton
• Brady J Olsen, DMD
• Candland Lee Olsen, DDS
• Matthew James Olsen, DMD
• Phillip Peter Olsen, DMD
• Gregory G. Oman, DDS
• Eveline Rita Onkels, DC
• Michael J Onkels, D.C
• Optimal Family Medicine, PLLC
• Orchard Drive Pediatric Dentistry

• Chiropractor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.