Organization Active NPI

Olsen Chiropractic LLC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1760612287
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6032 Issued in AZ
Legal business name
OLSEN CHIROPRACTIC LLC
Practice address
3055 S Kinney Rd
Tucson, AZ 85713-5504
Phone
(520) 578-8000
Fax
(520) 578-8010
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Eric Olsen
Title
Sole MBR
Phone
(520) 578-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6032 AZ Primary

Addresses

Primary practice location

3055 S Kinney Rd
Tucson, AZ 85713-5504

Mailing address

3055 S Kinney Rd
Tucson, AZ 85713-5504
Phone (520) 578-8000

Other identifiers 4

IdentifierTypeStateIssuer
AZ0936340OtherAZBLUE CROSS BLUE SHIELD
350056346OtherAZRAILROAD MEDICARE
1Z5669OtherAZHEALTHNET AZ
972614OtherAZFIRST HEALTH

National Provider Directory

National Provider Directory

Locations

3055 S Kinney Rd
Tucson, AZ 85713
Phone (520) 578-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1760612287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 S KINNEY RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135504",
            "telephone_number": "520-578-8000",
            "fax_number": "520-578-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 S KINNEY RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135504",
            "telephone_number": "520-578-8000",
            "fax_number": "520-578-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "520-578-8000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0936340",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350056346",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET AZ",
            "identifier": "1Z5669",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "972614",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.