Individual provider Active NPI

Debra Sue Olson, DC

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1710194980
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
21767 Issued in CA
Practice address
44967 N 10TH St West
Lancaster, CA 93534-2313
Phone
(661) 942-8686
Fax
(661) 723-3046
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 21767 CA Primary

Addresses

Primary practice location

44967 N 10TH St West
Lancaster, CA 93534-2313

Mailing address

44967 N 10TH St West
Lancaster, CA 93534-2313
Phone (661) 942-8686

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
21767CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ctic Great Chiropractic Group 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1710194980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44967 N 10TH ST WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342313",
            "telephone_number": "661-942-8686",
            "fax_number": "661-723-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44967 N 10TH ST WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342313",
            "telephone_number": "661-942-8686",
            "fax_number": "661-723-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DEBRA",
        "middle_name": "SUE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.