Individual provider Active NPI

Joshua R Olmstead, DDS

  • General Practice Dentistry
  • Cleveland, TN
National Provider Identifier
1245324474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8567 Issued in TN
Practice address
3439 Keith St NW
Cleveland, TN 37312-3721
Phone
(423) 478-3756
Fax
(423) 478-3567
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8567 TN Primary

Addresses

Primary practice location

3439 Keith St NW
Cleveland, TN 37312-3721

Mailing address

3439 Keith St NW
Cleveland, TN 37312-3721
Phone (423) 478-3756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706002644 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133431083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8567TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Olmstead & Stanbery Dental Partners Current Accepting new patients
Well Adjusted LLC PastSince Jun 3, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245324474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123721",
            "telephone_number": "423-478-3756",
            "fax_number": "423-478-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123721",
            "telephone_number": "423-478-3756",
            "fax_number": "423-478-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.