Joshua Boone Olsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-996 Issued in ID

Practice address

2621 Overland Ave
Burley, ID 83318-2942

Phone

(208) 678-4100

Fax

(208) 678-4101

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Lakes Chiropractic, PAGroup PAC ID 7911992334, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blue Lakes Chiropractic, PA

  • Chiropractor
  • Twin Falls, ID
  • NPI 1679508170
  Medicare reassignment Care Compare group NPD
• Blue Lakes Medicine PA

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1063872489
  NPD
• Community Chiropractic LLC

  • Chiropractor
  • Hagerman, ID
  • NPI 1821820028
  NPD
• David R. Long D.C. P.a.

  • Chiropractor
  • Twin Falls, ID
  • NPI 1457507147
  NPD (past)
• Evans Family Chiropractic, LLC.

  • Chiropractor
  • Burley, ID
  • NPI 1528334554
  NPD (past)
• West Dearborn Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1124788666
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1962599472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "HAGERMAN",
            "state": "ID",
            "postal_code": "833320403",
            "telephone_number": "208-731-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 OVERLAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182942",
            "telephone_number": "208-678-4100",
            "fax_number": "208-678-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JOSHUA",
        "middle_name": "BOONE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807010300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart Raymond North, D.O.
• Northland Hearing Center, Inc.
• Northwest Bec Corp Dba Burley Care Center
• Jacob Oakland
• Olsen Chiropractic Center PLLC
• Kelby James Olson, D.M.D.
• Delbert Oman, O.D.
• One Oak Home Care
• One Oak Home Care
• David Ontiveros, DO

• Chiropractor in Burley, ID
• Providers in Burley, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.