Active NPI
Brian Olson, DC
- Chiropractor
- Yankton, SD
National Provider Identifier
1568680221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 721
- Practice address
- 909 Broadway Ave
10
Yankton, SD 57078-3547 - Phone
- (605) 665-2434
- Fax
- (605) 665-2434
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 721 | SD | Primary |
| Chiropractor | 111N00000X | 928 | NE |
Addresses
Primary practice location
909 Broadway Ave
10
Yankton, SD 57078-3547
Mailing address
909 Broadway Ave
10
Yankton, SD 57078-3547
Phone (605) 665-2434
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721 | SD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1568680221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 BROADWAY AVE",
"address_2": "10",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783547",
"telephone_number": "605-665-2434",
"fax_number": "605-665-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 BROADWAY AVE",
"address_2": "10",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783547",
"telephone_number": "605-665-2434",
"fax_number": "605-665-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "721",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.