Active NPI
Russell James Olson, DC
- Chiropractor
- Pasadena, TX
National Provider Identifier
1629123575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5908
- Practice address
- 4010 Fairmont Pkwy
Suite 110
Pasadena, TX 77504-3071 - Phone
- (713) 920-2255
- Fax
- (713) 920-2255
- NPI assigned
- Jan 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5908 | TX | Primary |
Addresses
Primary practice location
4010 Fairmont Pkwy
Suite 110
Pasadena, TX 77504-3071
Mailing address
4010 Fairmont Pkwy
Suite 110
Pasadena, TX 77504-3071
Phone (713) 920-2255
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 |
|---|---|---|---|
| 5908 | TX | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D W May Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Pasadena, TX
- NPI 1346804804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1629123575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 FAIRMONT PKWY",
"address_2": "SUITE 110",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043071",
"telephone_number": "713-920-2255",
"fax_number": "713-920-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 FAIRMONT PKWY",
"address_2": "SUITE 110",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043071",
"telephone_number": "713-920-2255",
"fax_number": "713-920-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "RUSSELL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.