Individual provider Active NPI

Garrett Don Olive, D.D.S.

  • General Practice Dentistry
  • Woodward, OK
National Provider Identifier
1093163446
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6805 Issued in OK
Practice address
809 NW Highway 270
Woodward, OK 73801-1734
Phone
(580) 256-6054
Fax
(580) 256-6057
NPI assigned
May 26, 2016
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6805 OK
General Practice Dentistry 1223G0001X 6805 OK Primary

Addresses

Primary practice location

809 NW Highway 270
Woodward, OK 73801-1734

Mailing address

809 NW Highway 270
Woodward, OK 73801-1734
Phone (580) 256-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6805OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett D. Olive, DDS, PLLC Dentist CurrentSince Feb 26, 2023 Accepting new patients
Midtown Dental PLLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

809 NW Highway 270
Woodward, OK 73801
Phone (580) 256-6054

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1093163446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 NW HIGHWAY 270",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738011734",
            "telephone_number": "580-256-6054",
            "fax_number": "580-256-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NW HIGHWAY 270",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738011734",
            "telephone_number": "580-256-6054",
            "fax_number": "580-256-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "GARRETT",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6805",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.