Individual provider Active NPI

Darcy Kae Olander, DMD

  • General Practice Dentistry
  • Keizer, OR
National Provider Identifier
1104496868
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11456 Issued in OR
Practice address
4600 River Rd N
Keizer, OR 97303-4648
Phone
(503) 949-8568
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11456 OR Primary

Addresses

Primary practice location

4600 River Rd N
Keizer, OR 97303-4648

Mailing address

2890 Fillmore Ave NW
Salem, OR 97304-3785
Phone (503) 949-8568

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
D11456ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Darcy K Olander DMD LLC CurrentSince Jun 27, 2021 Accepting new patients

Locations

4600 River Rd N
Keizer, OR 97303
Phone (503) 393-2264

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1104496868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 FILLMORE AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043785",
            "telephone_number": "503-949-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034648",
            "telephone_number": "503-949-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANDER",
        "first_name": "DARCY",
        "middle_name": "KAE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.