Ctic Great Chiropractic Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

21767 Issued in CA

Legal business name

CTIC GREAT CHIROPRACTIC GROUP

Practice address

44967 10TH St W
Lancaster, CA 93534-2313

Phone

(661) 942-8686

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Debra Olson, D.C.NPI 1710194980

Title

Doctor/Owner

Phone

(661) 942-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Sue Olson, DC

  • Chiropractor
  • Lancaster, CA
  • NPI 1710194980
  NPD (past) Authorized official
• Bjorn Kristian Sack, DC

  • Chiropractor
  • Lancaster, CA
  • NPI 1700095262
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1871782029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44967 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342313",
            "telephone_number": "661-942-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44967 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342313",
            "telephone_number": "661-942-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTIC GREAT CHIROPRACTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "661-942-8686",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC  SOUTHERN",
            "identifier": "W12075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.