Active NPI
Oak Ridge Dental Arts
- Dentist
- Charlotte, NC
National Provider Identifier
1053580472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8149
- Legal business name
- OAK RIDGE DENTAL ARTS
- Practice address
- 9920 Couloak Dr Ste 100
Charlotte, NC 28216-8923 - Phone
- (704) 392-7676
- Fax
- (704) 392-7665
- NPI assigned
- Feb 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene Kenneth Olsen, DDS
- Title
- Doctor/Dentist
- Phone
- (704) 392-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8149 | NC | Primary |
Addresses
Primary practice location
9920 Couloak Dr Ste 100
Charlotte, NC 28216-8923
Mailing address
9920 Couloak Dr Ste 100
Charlotte, NC 28216-8923
Phone (704) 392-7676
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1053580472",
"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",
"fax_number": "704-392-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 COULOAK DR STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282168923",
"telephone_number": "704-392-7676",
"fax_number": "704-392-7665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK RIDGE DENTAL ARTS",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "OLSEN",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "DOCTOR/DENTIST",
"authorized_official_telephone_number": "704-392-7676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "8149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.