Larry L Oliver, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-1662 Issued in OR

Practice address

408 NW 7TH St
Corvallis, OR 97330-6308

Phone

(541) 757-9933

Fax

(541) 757-7713

NPI assigned

Jun 30, 2005

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Heresco Chiropractic and Associates PC

  • Chiropractor
  • Corvallis, OR
  • NPI 1326045626
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1720085020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NW 7TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306308",
            "telephone_number": "541-757-9933",
            "fax_number": "541-757-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NW 7TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306308",
            "telephone_number": "541-757-9933",
            "fax_number": "541-757-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269605",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Old Mill Center for Children and Families
• Carol Lynn Oldshield, RN, BSN
• Benjamin Robert Oldson, D.O.
• Makayla Alize Olivas
• Angela R Oliver
• Loretta Y. Olivier, M.SC., CCC-SLP
• Alyson Olsen
• Christine S Olsen, PHD, CD(DONA), ICCE
• Jessica Lynn Olsen
• Nancy Ann Olsen, LPC

• Chiropractor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.