Active NPI
Mark Andrew Olson, D.C.
- Chiropractor
- Hobart, IN
National Provider Identifier
1952429805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001346A
- Practice address
- 11 West Old Ridge Road
Hobart, IN 46342-2410 - Phone
- (219) 942-3049
- Fax
- (219) 942-3219
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001346A | IN | Primary |
Addresses
Primary practice location
11 West Old Ridge Road
Hobart, IN 46342-2410
Mailing address
536 N Kelly St
Hobart, IN 46342-2410
Phone (219) 947-1556
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001346A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952429805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 N KELLY ST",
"city": "HOBART",
"state": "IN",
"postal_code": "463422410",
"telephone_number": "219-947-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 WEST OLD RIDGE ROAD",
"city": "HOBART",
"state": "IN",
"postal_code": "463422410",
"telephone_number": "219-942-3049",
"fax_number": "219-942-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MARK",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001346A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobart, IN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.