Organization Active NPI

Nils W. Olson, DDS, PA

  • Clinic/Center
  • Frederick, MD
National Provider Identifier
1083846174
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6439 Issued in MD
Legal business name
NILS W. OLSON, DDS, PA
Practice address
150 Baughmans LN
Frederick, MD 21702-4004
Phone
(301) 695-3415
NPI assigned
Aug 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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

Authorized official

Name
Dr. Nils W. Olson, D.D.S.NPI 1497889075
Title
President
Phone
(301) 695-5454

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
Clinic/Center 261Q00000X 6439 MD Primary

Addresses

Primary practice location

150 Baughmans LN
Frederick, MD 21702-4004

Mailing address

150 Baughmans LN
Frederick, MD 21702-4004
Phone (301) 695-3415

National Provider Directory

National Provider Directory
Tax ID family
Nils W Olson 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250899200000",
    "number": "1083846174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BAUGHMANS LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024004",
            "telephone_number": "301-695-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BAUGHMANS LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024004",
            "telephone_number": "301-695-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILS W. OLSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "NILS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-695-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "6439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.