Evan G Olson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-6037 Issued in MT

Practice address

101 Westview Park PL
Kalispell, MT 59901-1401

Phone

(406) 393-8877

Fax

(406) 752-1124

NPI assigned

Aug 4, 2010

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 1, 2022 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evan G Olson DDS PC

  dba Alpine Family Dental

  • Dentist
  • Kalispell, MT
  • NPI 1245971787
  NPD Authorized official
• Advantage Dental

  • Preferred Provider Organization
  • Bend, OR
  • NPI 1285007807
  NPD (past)
• Heather Campbell DMD LLC

  dba Coppertop Family Dentistry

  • Dental Clinic/Center
  • Redmond, OR
  • NPI 1154068211
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1174837983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011401",
            "telephone_number": "406-393-8877",
            "fax_number": "406-752-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011401",
            "telephone_number": "406-393-8877",
            "fax_number": "406-752-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "EVAN",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2024-02-15",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9473",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "D-6037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500625075",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John V. Olsen, MD
• Jonathan Franklin Olsen, O.D.
• Robert Wayne Olsen, DMD
• Sarah J Olsen
• Bradford L. Olson, MD
• Kathleen F Olson, NP
• Kristofor Aksamit Olson, MD, PHD
• Yvonne Larae Olson, LCSW
• Albert David Olszewski, M.D.
• Tafford E Oltz, CRNA

• General Practice Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.