Donald P Ohlsson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901014453 Issued in MI

Practice address

1460 Walton Blvd
Suite 204
Rochester, MI 48309

Phone

(248) 651-1613

Fax

(248) 651-1632

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sdpa Management PLLC

  • General Practice Dentistry
  • Midland, MI
  • NPI 1407481260
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124053376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 204",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-651-1613",
            "fax_number": "248-651-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 WALTON BLVD",
            "address_2": "SUITE 204",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-651-1613",
            "fax_number": "248-651-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSSON",
        "first_name": "DONALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "975210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3516128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oakland Township
• Oakland University
• Oakland University
• Oakland University ABA Clinic
• Oakland University GHC
• Chukwudi Okonmah, M.D.
• Erin Olsen
• Kathleen Ann Olvera, D.C.
• Oncology & Hematology of Oakland PC
• Openarms Home Health Care LLC

• Dentist in Rochester, MI
• Providers in Rochester, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.