Active NPI
David James Olson, D.C.
- Chiropractor
- Osceola, WI
National Provider Identifier
1558627596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4859-12
- Practice address
- 307 Cascade Street
Osceola, WI 54020 - Phone
- (715) 294-3211
- Fax
- (715) 417-3103
- NPI assigned
- Apr 4, 2012
- Last updated
- Sep 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4859-12 | WI | Primary |
Addresses
Primary practice location
307 Cascade Street
Osceola, WI 54020
Mailing address
PO Box 68
Osceola, WI 54020-0068
Phone (715) 294-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
307 Cascade St N
Osceola, WI 54020-0068
Phone (715) 294-3211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4859-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olson CC Wellness LLC | Chiropractor | Current | Accepting new patients |
| Michael J. Olson | Chiropractor | Past | Accepting new patients |
Locations
307 N Cascade St
Osceola, WI 54020
Phone (715) 294-3211
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1558627596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540200068",
"telephone_number": "715-294-3211",
"fax_number": "715-417-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 CASCADE STREET",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "54020",
"telephone_number": "715-294-3211",
"fax_number": "715-417-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DAVID",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4859-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, WI
- Kristina Elizabeth Noding, D.M.D.
- Douglas Eugene Nykanen, R.PH.
- Chelsea O'Brien
- Olson CC Wellness LLC (Olson Chiropractic)
- Ann M Olson, PT
- Tara Marie Olson, N.P.
- Osceola Area Ambulance (Osceola Area Ambulance Service)
- Osceola Family Dental, LTD
- Osceola Family Eyecare LLC (Osceola Family Eyecare)
- Osceola Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.