Individual provider Active NPI

Ryan William Olsen, D.C.

  • Chiropractor
  • Kittanning, PA
National Provider Identifier
1881822047
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010115 Issued in PA
Practice address
159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328
Phone
(724) 548-1040
Fax
(724) 548-1044
NPI assigned
Jun 26, 2009
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010115 PA Primary

Addresses

Primary practice location

159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328

Mailing address

159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328
Phone (724) 548-1040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000036 PA Practitioner - Chiropractic 9436201712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

159 Butler Rd
Suite 2a
Kittanning, PA 16201-2328
Phone (724) 548-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010115PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Olsen Chiropractic, LLC Chiropractor CurrentSince Apr 20, 2010 Accepting new patients
Mills Chiropractic Center Chiropractor PastSince Apr 16, 2001 Accepting new patients

Locations

159 Butler Rd
Ste 2A
Kittanning, PA 16201
Phone (724) 548-1040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1881822047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BUTLER RD",
            "address_2": "SUITE 2A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012328",
            "telephone_number": "724-548-1040",
            "fax_number": "724-548-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BUTLER RD",
            "address_2": "SUITE 2A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012328",
            "telephone_number": "724-548-1040",
            "fax_number": "724-548-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.