Individual provider Active NPI

Greg E Oleson, D.C.

  • Sports Physician Chiropractor
  • Armstrong, IA
National Provider Identifier
1902887672
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
A05772 Issued in IA
Practice address
514 1St Avenue
Armstrong, IA 50514
Phone
(712) 868-3265
Fax
(712) 868-3499
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X A05772 IA Primary

Addresses

Primary practice location

514 1St Avenue
Armstrong, IA 50514

Mailing address

514 1St Avenue
Armstrong, IA 50514
Phone (712) 868-3265

Other identifiers 1

IdentifierTypeStateIssuer
0118646MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1902887672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 1ST AVENUE",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "50514",
            "telephone_number": "712-868-3265",
            "fax_number": "712-868-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 1ST AVENUE",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "50514",
            "telephone_number": "712-868-3265",
            "fax_number": "712-868-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESON",
        "first_name": "GREG",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "A05772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118646",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Armstrong, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.