Individual provider Active NPI

Joseph Michael Olivacz, DC

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1841348281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01950 Issued in MD
Practice address
4A North Ave
Ste 207
Bel Air, MD 21014
Phone
(410) 893-8339
Fax
(410) 838-8011
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01950 MD Primary

Addresses

Primary practice location

4A North Ave
Ste 207
Bel Air, MD 21014

Mailing address

4A North Ave
Ste 207
Bel Air, MD 21014
Phone (410) 893-8339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000405 MD Practitioner - Chiropractic 1658262399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Campanella and Olivacz PAGroup PAC ID 3779474416, 2 clinicians
Nicholas Campanella DcpaGroup PAC ID 7012805377, 2 clinicians

Practice addresses (Care Compare)

225 Saint John St
Havre de Grace, MD 21078-2905
Phone (410) 939-4488

4 A N Ave
Suite 207
Bel Air, MD 21014-2331
Phone (410) 893-8339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S01950MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas Campanella Dcpa Chiropractor CurrentSince Feb 1, 2000 Accepting new patients
DRS Campanella & Olivacz PA Chiropractor CurrentSince Oct 22, 2003 Accepting new patients

Locations

4A North Ave
Ste 207
Bel Air, MD 21014
Phone (410) 893-8339

225 Saint John St
Hvre de Grace, MD 21078
Phone (410) 939-4488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841348281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4A NORTH AVE",
            "address_2": "STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-893-8339",
            "fax_number": "410-838-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4A NORTH AVE",
            "address_2": "STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-893-8339",
            "fax_number": "410-838-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVACZ",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.