F Kris Olsen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4387 Issued in WI

Practice address

1320 S Green Bay Road
Racine Dental Group
Racine, WI 53406

Phone

(262) 637-9371

Fax

(262) 637-3071

NPI assigned

Feb 26, 2013

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

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1275873374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S GREEN BAY ROAD",
            "address_2": "RACINE DENTAL GROUP",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-637-9371",
            "fax_number": "262-637-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S GREEN BAY ROAD",
            "address_2": "RACINE DENTAL GROUP",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-637-9371",
            "fax_number": "262-637-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "F",
        "middle_name": "KRIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "4387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Obernberger, RN
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
• Richard Odders, MD
• Jay M Oksiuta, DDS
• Taylor Olivotti, M.S. CF-SLP
• Nina K Olsen, RDN
• Brittany Olson, APNP
• Nicholas Omdahl, MD
• Optical Dept. of Eye Clinic of Racine, LTD.
• Crystil Marie Orellana

• Endodontics in Racine, WI
• Providers in Racine, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.