Organization Active NPI

Scott a Olson DDS PLLC

  • Dental Clinic/Center
  • Poulsbo, WA
National Provider Identifier
1013409788
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010620 Issued in WA
Legal business name
SCOTT A OLSON DDS PLLC
Practice address
18520 State Highway 305 NE
Poulsbo, WA 98370-7453
Phone
(360) 598-5510
Fax
(360) 598-5515
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Dr. Scott A Olson, DDS
Title
Owner
Phone
(360) 598-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00010620 WA Primary

Addresses

Primary practice location

18520 State Highway 305 NE
Poulsbo, WA 98370-7453

Mailing address

18520 State Highway 305 NE
Poulsbo, WA 98370-7453
Phone (360) 598-5510

Other names 1

  • Viking Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18520 State Highway 305 NE
Poulsbo, WA 98370
Phone (360) 598-5510

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1013409788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 STATE HIGHWAY 305 NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707453",
            "telephone_number": "360-598-5510",
            "fax_number": "360-598-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 STATE HIGHWAY 305 NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707453",
            "telephone_number": "360-598-5510",
            "fax_number": "360-598-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A OLSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-598-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viking Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Viking Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.