Gregory Joseph Olenick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19014375 Issued in IL

Practice address

1275 Butterfield Rd
Suite 204
Wheaton, IL 60187-8849

Phone

(630) 653-1377

Fax

(630) 653-7935

NPI assigned

Jan 18, 2007

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275685224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD",
            "address_2": "SUITE 204",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878849",
            "telephone_number": "630-653-1377",
            "fax_number": "630-653-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 BUTTERFIELD RD",
            "address_2": "SUITE 204",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878849",
            "telephone_number": "630-653-1377",
            "fax_number": "630-653-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENICK",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19014375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn S Oesterle, M.D.
• Chiwendu Offor
• Maria Okba
• Jeffrey E. Oken, M.D.
• Asia Olaniyan
• Manuela Oliveira
• Beverly F. Oliver, LMT
• Paige Alexis Oliver, MOT, OTR
• Olivia M Oliverius
• Dawn Florine Olson, DN

• General Practice Dentistry in Wheaton, IL
• Providers in Wheaton, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.