Individual provider Active NPI

Leah Olson, DMD

  • General Practice Dentistry
  • Olympia, WA
National Provider Identifier
1124307590
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60231372 Issued in WA
Practice address
1800 Cooper Point Rd SW Ste 23
Olympia, WA 98502-1179
Phone
(360) 330-9595
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 60231372 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW Ste 23
Olympia, WA 98502-1179

Mailing address

1800 Cooper Point Rd SW Ste 23
Olympia, WA 98502-1179
Phone (360) 352-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20150604001178 WA Order and Referring Only - DentistPractitioner - Dentist 8628399474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60231372WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Olson DMD PLLC CurrentSince Oct 29, 2023 Accepting new patients
Leah Olson DMD PLLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

1800 Cooper Point Rd SW
Ste 23
Olympia, WA 98502
Phone (360) 330-9595

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1124307590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 23",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "360-352-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 23",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "360-330-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LEAH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60231372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.