Patel-Olsen Sub-Dso LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATEL-OLSEN SUB-DSO LLC

Practice address

218 Burkemont Ave
Morganton, NC 28655-4454

Phone

(828) 437-7070

Fax

(828) 437-7950

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Beth Draughon

Title

Regional Manager

Phone

(828) 437-7070

Specialties & licenses 1

Addresses

Other names 1

• Maple Springs Dental Doing business as

Electronic endpoints 1

Practitioners 1

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

• Eugene K Olsen, DDS

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1437369493
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1043813256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 COULOAK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168923",
            "telephone_number": "704-392-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BURKEMONT AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554454",
            "telephone_number": "828-437-7070",
            "fax_number": "828-437-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL-OLSEN SUB-DSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "DRAUGHON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "828-437-7070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morganton@maplespringsdental.com",
            "affiliation": "N",
            "address_1": "218 Burkemont Ave",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286554454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maple Springs Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Pace
• Melinda A. Palmer, LCMHC
• Margaret B Pannenbacker, SLP
• Marguerite Parrillo, LCSW
• Amanda Parsons
• Mahendrabhai Nagibhai Patel, M.D.
• Niraj Ravji Patel, DDS
• Rahul Patel
• Taralkumar Amrutlal Patel, RPH
• Matilda Anna Patrick, OT

• General Practice Dentistry in Morganton, NC
• Providers in Morganton, 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 Nov 19, 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.