Jorn N Olimpiada DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47542 Issued in CA

Legal business name

JORN N OLIMPIADA DDS INC

Doing business as

Olympics Dental Care

Practice address

15401 Hesperian Blvd
Suite F
San Leandro, CA 94578-3973

Phone

(510) 317-9439

Fax

(510) 317-9558

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jorn Natanauan Olimpiada, D.D.S.NPI 1528214228

Title

Owner

Phone

(510) 317-9439

Specialties & licenses 1

Addresses

Other names 1

• Olympics Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorn N Olimpiada, D.D.S.

  • General Practice Dentistry
  • San Leandro, CA
  • NPI 1528214228
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124198619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15401 HESPERIAN BLVD",
            "address_2": "SUITE F",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783973",
            "telephone_number": "510-317-9439",
            "fax_number": "510-317-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15401 HESPERIAN BLVD",
            "address_2": "SUITE F",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783973",
            "telephone_number": "510-317-9439",
            "fax_number": "510-317-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORN N OLIMPIADA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIMPIADA",
        "authorized_official_first_name": "JORN",
        "authorized_official_middle_name": "NATANAUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-317-9439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympics Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet D. Jonte, NP
• Cynthia Joost
• Jenna-Azriele Jordan
• Shira Jordan, LCSW 29372
• Johanna Louise Jorgensen
• Joseph C. Cheng, M.D., Inc.
• Joseph M. Farber M.D., Inc.
• Daryl Joseph
• Larnelle Marie Joshan
• Journey of Life Counseling and Assessment Services

• General Practice Dentistry in San Leandro, CA
• Providers in San Leandro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.