Organization Active NPI

Dr. Richard a. Olson Chiropractic Inc

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1831234368
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. RICHARD A. OLSON CHIROPRACTIC INC
Practice address
7310 N Villa Lake Dr
Peoria, IL 61614-8267
Phone
(309) 691-9767
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Dr. Richard Alan Olson, D.C.
Title
President
Phone
(309) 688-7777

Specialties & licenses 1

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

Addresses

Primary practice location

7310 N Villa Lake Dr
Peoria, IL 61614-8267

Mailing address

7310 N Villa Lake Dr
Peoria, IL 61614-8267
Phone (309) 691-9767

National Provider Directory

National Provider Directory

Locations

350 Cimmeron Dr
Ste B
East Peoria, IL 61611
Phone (309) 688-7777

300 E War Memorial Dr
Ste 201
Peoria, IL 61614
Phone (309) 688-7777

7310 N Villa Lake Dr
Peoria, IL 61614
Phone (309) 683-2660

Practitioners & affiliated clinicians

Practitioners 3

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1831234368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N VILLA LAKE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148267",
            "telephone_number": "309-691-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N VILLA LAKE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148267",
            "telephone_number": "309-691-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD A. OLSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-688-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.