David O Olson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10154 Issued in TX

Practice address

725 W Round Bunch Rd
Bridge City, TX 77611-2435

Phone

(409) 735-4902

Fax

(409) 735-7595

NPI assigned

Dec 14, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 10, 2023 through Apr 10, 2027

Medicare enrollment (NPD)

Enrolled

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.

• David O Olson, DDS, PC

  • Dentist
  • Bridge City, TX
  • NPI 1457536039
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003978396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112435",
            "telephone_number": "409-735-4902",
            "fax_number": "409-735-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112435",
            "telephone_number": "409-735-4902",
            "fax_number": "409-735-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DAVID",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amirreza Mohebban, PHARM D
• Janet Lafleur Morris
• Anand B Movva, MD
• Wilbur Nichols, RPH
• Nicks Pharmacy
• Orange County Audiology & Hearing AIDS
• Wesley D Palmer, D.O.
• Christopher Paul Penning, D.O.
• Julie Peterson
• Olivia Paige Psencik, M.S., SLP

• General Practice Dentistry in Bridge City, TX
• Providers in Bridge City, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.