NPIMap

Organization Active NPI

Donna B Olsen DDS & Richard a Olsen DDS, PA

  • General Practice Dentistry
  • Mooresville, NC
National Provider Identifier
1023213998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1467 Issued in NC
Legal business name
DONNA B OLSEN DDS & RICHARD A OLSEN DDS, PA
Practice address
367 Williamson Rd
Suite 103
Mooresville, NC 28117-5944
Phone
(704) 662-9111
Fax
(704) 662-9112
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donna Barbaglia Olsen, DMDNPI 1962526855
Title
Owner
Phone
(704) 662-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1467 NC Primary

Addresses

Primary practice location

367 Williamson Rd
Suite 103
Mooresville, NC 28117-5944

Mailing address

367 Williamson Rd
Suite 103
Mooresville, NC 28117-5944
Phone (704) 662-9111

Other names 1

  • Olsen General Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donna B Olsen Dda and Richard a Olsen DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

367 Williamson Rd
Ste 103
Mooresville, NC 28117
Phone (704) 662-9111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023213998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 WILLIAMSON RD",
            "address_2": "SUITE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175944",
            "telephone_number": "704-662-9111",
            "fax_number": "704-662-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 WILLIAMSON RD",
            "address_2": "SUITE 103",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175944",
            "telephone_number": "704-662-9111",
            "fax_number": "704-662-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA B OLSEN DDS & RICHARD A OLSEN DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "BARBAGLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-662-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olsen General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.