Individual provider Active NPI

Steven William Oliver, D.C.

  • Independent Medical Examiner Chiropractor
  • Bunnell, FL
National Provider Identifier
1649678707
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
CH11373 Issued in FL
Practice address
4490 N US Highway 1
Suite 108
Bunnell, FL 32110-4374
Phone
(800) 362-4183
Fax
(386) 456-3071
NPI assigned
Dec 5, 2014
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X CH11373 FL Primary

Addresses

Primary practice location

4490 N US Highway 1
Suite 108
Bunnell, FL 32110-4374

Mailing address

704 E Moody Blvd Unit 1742
Bunnell, FL 32110-6122
Phone (386) 569-6459

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH11373FLMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Diagnostic Centers Inc. Independent Medical Examiner CurrentSince Sep 6, 2020 Accepting new patients
Integrative Physician Services Inc. Independent Medical Examiner Past Accepting new patients

Locations

704 E Moody Blvd
Unit 1742
Bunnell, FL 32110

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": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1649678707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E MOODY BLVD UNIT 1742",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321106122",
            "telephone_number": "386-569-6459",
            "fax_number": "386-259-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 N US HIGHWAY 1",
            "address_2": "SUITE 108",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321104374",
            "telephone_number": "800-362-4183",
            "fax_number": "386-456-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.