Individual provider Active NPI

Kevin Conway Oleary, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1538330246
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23341 Issued in CA
Practice address
6923 Arizona Ave
Los Angeles, CA 90045-1314
Phone
(310) 645-7845
Fax
(310) 670-4343
NPI assigned
Mar 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23341 CA Primary

Addresses

Primary practice location

6923 Arizona Ave
Los Angeles, CA 90045-1314

Mailing address

6923 Arizona Ave
Los Angeles, CA 90045-1314

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC23341CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1538330246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 ARIZONA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 ARIZONA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451314",
            "telephone_number": "310-645-7845",
            "fax_number": "310-670-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEARY",
        "first_name": "KEVIN",
        "middle_name": "CONWAY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.