Richard Alan Olson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005580 Issued in IL

Practice address

7310 N Villa Lake Dr
Suite D
Peoria, IL 61614-8267

Phone

(309) 691-9767

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard a Olson

  • Chiropractor
  • Peoria, IL
  • NPI 1124194113
  NPD (past) Authorized official
• Nelson Chiropractic S C

  • Chiropractor
  • Peoria, IL
  • NPI 1467631309
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1952436180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N VILLA LAKE DR",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148267",
            "telephone_number": "309-691-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N VILLA LAKE DR",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616148267",
            "telephone_number": "309-691-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0007282057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Olsen, M.D.
• Wendy Olson Padilla, M.D.
• Ashley Mildred Olson, M.S., CCC-SLP
• Bret Olson, MD
• Jessica Olson
• Tamara L. Olt, M.D.
• Erin Omalley
• Samson Ajibola Omowumi
• Oncology Hematology Associates of Central Il, PC
• Oncology-Hematology Associates of Central Illinois P C

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.