Organization Active NPI

Olorunsola Family Chiropractic PLLC

  • Chiropractor
  • Cypress, TX
National Provider Identifier
1780416628
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OLORUNSOLA FAMILY CHIROPRACTIC PLLC
Practice address
13611 Skinner Rd Ste 120
Cypress, TX 77429-2797
Phone
(803) 399-0707
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Dr. Mayowa Olorunsola, DCNPI 1003648940
Title
Provider, Ao, Owner
Phone
(803) 399-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13611 Skinner Rd Ste 120
Cypress, TX 77429-2797

Mailing address

13611 Skinner Rd Ste 120
Cypress, TX 77429-2797
Phone (803) 399-0707

Other names 1

  • MAXLIVING CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241024002840 TX Part B Supplier - Clinic/Group Practice 1759814031 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

13611 Skinner Rd
Ste 120
Cypress, TX 77429
Phone (803) 399-0707

Practitioners & affiliated clinicians

Practitioners 1

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": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1780416628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD STE 120",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292797",
            "telephone_number": "803-399-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD STE 120",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292797",
            "telephone_number": "803-399-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLORUNSOLA FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "OLORUNSOLA",
        "authorized_official_first_name": "MAYOWA",
        "authorized_official_title_or_position": "PROVIDER, AO, OWNER",
        "authorized_official_telephone_number": "803-399-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXLIVING CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.