Individual provider Active NPI

Dale J Olesberg, DMD

  • General Practice Dentistry
  • Beaverton, OR
National Provider Identifier
1154316263
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5983 Issued in OR
Practice address
14780 SW Osprey Dr
Suite #360
Beaverton, OR 97007-8028
Phone
(503) 579-4400
Fax
(503) 579-6700
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 D5983 OR Primary

Addresses

Primary practice location

14780 SW Osprey Dr
Suite #360
Beaverton, OR 97007-8028

Mailing address

14780 SW Osprey Dr
Suite #360
Beaverton, OR 97007-8028
Phone (503) 579-4400

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
D5983ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154316263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE #360",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "503-579-4400",
            "fax_number": "503-579-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE #360",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "503-579-4400",
            "fax_number": "503-579-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESBERG",
        "first_name": "DALE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.