Blaine Robert Olsen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

664 Issued in ND

Practice address

1921 N 13TH St
Bismarck, ND 58501-1973

Phone

(701) 222-2252

Fax

(701) 222-3645

NPI assigned

Sep 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1801997143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N 13TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011973",
            "telephone_number": "701-222-2252",
            "fax_number": "701-222-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 N 13TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011973",
            "telephone_number": "701-222-2252",
            "fax_number": "701-222-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "BLAINE",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Alexandria Olheiser, LAC
• Ciara Oliger, PA
• Brandon Mitchell Oliver, RN
• Sarah Ann Olsen-Petrick, LPCC
• Angela Olsen, LAPC
• Aaron Carroll Olson, DPM
• Alexis Olson
• Courtney Melissa Olson, M.S. CFY-SLP
• Darcy Caleb Olson, M.ED., L.A.D.C.
• Emma Olson, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.