Individual provider Active NPI

Christopher Erik Olson, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Litchfield Park, AZ
National Provider Identifier
1134327372
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D7946 Issued in AZ
Practice address
13575 W Indian School Rd
Suite 400
Litchfield Park, AZ 85340-4901
Phone
(623) 536-7004
Fax
(623) 536-2690
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X D7946 AZ Primary

Addresses

Primary practice location

13575 W Indian School Rd
Suite 400
Litchfield Park, AZ 85340-4901

Mailing address

13575 W Indian School Rd
Suite 400
Litchfield Park, AZ 85340-4901
Phone (623) 536-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150916001399 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1254648769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7946AZMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1134327372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "SUITE 400",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-536-7004",
            "fax_number": "623-536-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD",
            "address_2": "SUITE 400",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-536-7004",
            "fax_number": "623-536-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D7946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.