Organization Active NPI

Olsen Chiropractic, LLC

  • Chiropractor
  • Kittanning, PA
National Provider Identifier
1508189507
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010115 Issued in PA
Legal business name
OLSEN CHIROPRACTIC, LLC
Practice address
159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328
Phone
(724) 548-1040
Fax
(724) 548-1044
NPI assigned
Mar 4, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Ryan William Olsen, DCNPI 1881822047
Title
Chiropractor
Phone
(724) 548-1040

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
Chiropractor 111N00000X DC010115 PA Primary

Addresses

Primary practice location

159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328

Mailing address

159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328
Phone (724) 548-1040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100723000360 PA Part B Supplier - Clinic/Group Practice 2567594732 Receives reassigned benefits from 1 practitioner
Practice locations: Kittanning, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2177615Olsen Chiropractic159 Butler Rd, Ste 2a, Kittanning, PA 16201Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

159 Butler Rd
Ste 2A
Kittanning, PA 16201
Phone (724) 548-1040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1508189507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BUTLER RD",
            "address_2": "SUITE 2A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012328",
            "telephone_number": "724-548-1040",
            "fax_number": "724-548-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BUTLER RD",
            "address_2": "SUITE 2A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012328",
            "telephone_number": "724-548-1040",
            "fax_number": "724-548-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-548-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.