Timothy Mark Olson I, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

498 Issued in ND

Practice address

3220 18TH St S
Suite 2
Fargo, ND 58104-6564

Phone

(701) 234-0028

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• South Pointe Chiropractic

  • Chiropractor
  • Fargo, ND
  • NPI 1023270683
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801945746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 18TH ST S",
            "address_2": "SUITE 2",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046564",
            "telephone_number": "701-234-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 18TH ST S",
            "address_2": "SUITE 2",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046564",
            "telephone_number": "701-234-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16361",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Olson, LAC
• Sara J Olson, M ED
• Stephen Preston Olson, OTRL
• Sydney Mae Olson, DC
• Tammy Jo Olson, D.O
• Travis Lee Olson, D.D.S.
• Mackenzie Oltman, MS, RDN
• Rachel Oluwaseunayo Olugbenga, FPA, FNP-BC, DNP.
• Oludamilola Wuraola Oluleye, M.D., M.P.H.
• Deeqa A Omar

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.