Alexandra M Oliver, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61426994 Issued in WA

Practice address

18008 State Route 410 E Ste D
Bonney Lake, WA 98391-7113

Phone

(253) 447-8440

NPI assigned

Apr 20, 2023

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ichiro PLLCGroup PAC ID 1153777610, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ichiro PLLC

  dba Ideal Motion Chiropractic

  • Chiropractor
  • Bonney Lake, WA
  • NPI 1114372117
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1558058487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 GRAHAM AVE APT 201",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18008 STATE ROUTE 410 E STE D",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917113",
            "telephone_number": "253-447-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61426994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nwpa Inc (Rxpress Pharmacy)
• Sydney O'Brien, CB61535534
• Ojh Clinic #6 Inc. (Bonney Lake Family Dental Care)
• Jeffery William Olsen, D.C.
• Samuel Onisor
• Alan Orsborn, D.D.S.
• Kelly A Osborn, BS PT
• Victoria Lynne Osborn, LMP

• Chiropractor in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.