Madison Rae Olivarez, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15073 Issued in TX

Practice address

1012 Campbell Rd
Houston, TX 77055-7408

Phone

(713) 468-3155

NPI assigned

Jan 8, 2017

Last updated

Feb 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Johnson Medical Group PLLC

  dba Campbell Medical Clinic

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
  • NPI 1710261771
  NPD
• Campbell Medical Group PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1982102414
  NPD (past)

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1962948497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CAMPBELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557408",
            "telephone_number": "713-468-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 CAMPBELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557408",
            "telephone_number": "713-468-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Oak Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789341697",
            "country_code": "US",
            "telephone_number": "979-732-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVAREZ",
        "first_name": "MADISON",
        "middle_name": "RAE",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-08",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15073",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Olivares Jr., MD
• Angelica C Olivarez
• Christina Olivarez
• Jessica Marie Olivarez, FNP-C
• Kimberly Hunter Olivarez
• Oliva Olivarez, D.T.
• George M Olivas
• Olive Angel Care Services LLC
• Olive Branch ABA
• Olive Branch Health Serv Inc

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.