Michelle R Olmstead, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008465 Issued in WA

Legal business name

MICHELLE R OLMSTEAD, DDS, PLLC

Doing business as

Maple Street Family Dentistry

Practice address

4610 N Ash St
Suite 102
Spokane, WA 99205-1482

Phone

(509) 891-5001

Fax

(509) 891-2787

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Renee Olmstead, DDS

Title

Owner/Dentist

Phone

(509) 891-5001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maple Street Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Olson, DDS

  • Oral Medicine Dentistry
  • Bellevue, WA
  • NPI 1285017301

  General Practice

  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1235509639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 N STANFORD LN",
            "address_2": "SUITE 100",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195034",
            "telephone_number": "509-891-5001",
            "fax_number": "509-891-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N ASH ST",
            "address_2": "SUITE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051482",
            "telephone_number": "509-891-5001",
            "fax_number": "509-891-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE R OLMSTEAD, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-891-5001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032438",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Street Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Zarriah Michaelis, BA
• Maureen Lee Michaelis, LMHC
• Roberta Michaelis, LMP
• Karin Michalk, PT
• Michelle Parks PLLC
• Michelle Weinbender Nutrition PLLC
• Joseph T Michels, MD
• Kevin Scott Michels, MD
• Patricia E Michels, M.D.
• William John Michels

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.