David Leonard Olsen, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2491 Issued in WI

Practice address

145 W. Calumet St.
Appleton, WI 54915-4934

Phone

(920) 731-2777

Fax

(920) 733-3402

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205922861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W. CALUMET ST.",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154934",
            "telephone_number": "920-731-2777",
            "fax_number": "920-733-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W. CALUMET ST.",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154934",
            "telephone_number": "920-731-2777",
            "fax_number": "920-733-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "DAVID",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Ofori-Sampong, M.D.
• Stephani Oldenburg, RN
• Jennifer Helene Olkowski, LPC, CADC III
• Rebecca M. Ollmann, MA LMFT
• Kristine A Olofson, RN
• Adam Robert Olson, M.D.
• Andrea A Olson, RN
• Bridget Olson
• Cathy M Olson, PTA
• Heather Michelle Olson, PTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.