Active NPI
Patrick Oliver, DC
- Chiropractor
- Griffith, IN
National Provider Identifier
1629653753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003183A
- Practice address
- 801 W Glen Park Ave
Griffith, IN 46319-2087 - Phone
- (219) 924-2112
- NPI assigned
- Mar 10, 2021
- 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 | 08003183A | IN | Primary |
Addresses
Primary practice location
801 W Glen Park Ave
Griffith, IN 46319-2087
Mailing address
11118 S Avenue H
Chicago, IL 60617-6907
Phone (773) 870-1530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
566 N Indiana Ave
Crown Point, IN 46307-3412
Phone (219) 213-2315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oliver Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
Locations
566 N Indiana Ave
Crown Point, IN 46307
Phone (219) 200-4077
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 and National Provider Directory roles.
-
- Chiropractor
- Crown Point, IN
- NPI 1659266435
-
- Rehabilitation Chiropractor
- Schererville, IN
- NPI 1033611702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1629653753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11118 S AVENUE H",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606176907",
"telephone_number": "773-870-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W GLEN PARK AVE",
"city": "GRIFFITH",
"state": "IN",
"postal_code": "463192087",
"telephone_number": "219-924-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "PATRICK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003183A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Griffith, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.