Eric B Oltman, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

002025823 Issued in CO

Practice address

360 Peak One Dr # 100
Frisco, CO 80443-5948

Phone

(970) 668-4040

Fax

(970) 668-6699

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Summit Community Care Clinic, Inc.

  dba Elevated Community Health

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1831219328
  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1225626526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR # 100",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR # 100",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4040",
            "fax_number": "970-668-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMAN",
        "first_name": "ERIC",
        "middle_name": "B",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002025823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva-Elizabeth Fay O'Melia, DDS
• Christine Susan Ohi, R.N.
• Ashley Oke, DPT
• Oliver Behavioral Consultants LLC
• Hannah McWhorter Olszewski, NCC, LPCC
• Daniel Joseph Otis, D.C.
• Lacie Overman, RDH
• Randy Jo Pacheco, BA
• Grant Padovich, PHARMD
• Nancy L Panter, M.D.

• Dental Hygienist in Frisco, CO
• Providers in Frisco, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.