Susan Louise Olcott, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6855NC Issued in NC

Practice address

520 S. Allen Rd Suite 4
Flat Rock, NC 28731

Phone

(828) 693-0911

Fax

(828) 693-9529

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Flat Rock Family Dentistry

  • General Practice Dentistry
  • Flat Rock, NC
  • NPI 1891372710
  NPD Authorized official
• Charles Delaine D.M.D., PLLC

  • Dental Clinic/Center
  • Flat Rock, NC
  • NPI 1821356619
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1043344328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S. ALLEN RD SUITE 4",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "28731",
            "telephone_number": "828-693-0911",
            "fax_number": "828-693-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S. ALLEN RD SUITE 4",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "28731",
            "telephone_number": "828-693-0911",
            "fax_number": "828-693-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCOTT",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6855",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24478",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6855NC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alea Morningstar, MD
• Ashley Nicole Morrow, FNP-BC
• Ivy Renee Morton, FNP-C
• Michol Shaw Negron, D.O.
• Harvey Clyde Nix III, PAC
• Chad James Olsen, FNP
• Elaina Bishop Ori-Honeycutt, D.O.
• William Sherman Padgett, RPH
• Kelsie E Paige, DPT
• Maria Antoinette Pattavina, APRN

• General Practice Dentistry in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.