Individual provider Active NPI

Peter John Olszewski, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1730204512
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000824 Issued in VA
Practice address
2712 Virginia Beach Blvd
Virginia Beach, VA 23452-7615
Phone
(757) 340-0040
Fax
(757) 340-0106
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000824 VA Primary

Addresses

Primary practice location

2712 Virginia Beach Blvd
Virginia Beach, VA 23452-7615

Mailing address

2712 Virginia Beach Blvd
Virginia Beach, VA 23452-7615
Phone (757) 340-0040

Other identifiers 2

IdentifierTypeStateIssuer
353326OtherVABLUE CROSS/BLUE SHIELD
13-4247843OtherVAFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000409 VA Practitioner - Chiropractic 8527125244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Therapy Solutions LLCGroup PAC ID 8325370380, 33 clinicians

Practice addresses (Care Compare)

4439 Virginia Beach Blvd
Virginia Beach, VA 23462-3100
Phone (757) 252-0590

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Hospitals Current Accepting new patients
Sentara Therapy Solutions, LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Sentara Therapy Solutions, LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Sentara Hospitals CurrentSince Apr 14, 2021 Accepting new patients
Sentara Hospitals CurrentSince Apr 14, 2021 Accepting new patients

Locations

3509 Chestnut Ave
Newport News, VA 23607
Phone (757) 271-4090

984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900

1809 Colonial Medical Ct
Ste 101
Virginia Beach, VA 23454
Phone (757) 200-2000

1060 First Colonial Rd
#1
Virginia Beach, VA 23454
Phone (757) 395-8844

4439 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 252-0590

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1730204512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527615",
            "telephone_number": "757-340-0040",
            "fax_number": "757-340-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527615",
            "telephone_number": "757-340-0040",
            "fax_number": "757-340-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSZEWSKI",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "353326",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "13-4247843",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.

Verify at the official NPI Registry.