Organization Active NPI

Doug Olson DMD PLLC

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1275921561
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8995 Issued in CO
Legal business name
DOUG OLSON DMD PLLC
Practice address
1610 E Cheyenne Mountain Blvd Ste 120
Colorado Springs, CO 80906-4001
Phone
(719) 527-2626
Fax
(719) 527-3992
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Dwight Doug Olson, DMDNPI 1356351068
Title
Dentist
Phone
(719) 527-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8995 CO Primary

Addresses

Primary practice location

1610 E Cheyenne Mountain Blvd Ste 120
Colorado Springs, CO 80906-4001

Mailing address

1610 E Cheyenne Mountain Blvd Ste 120
Colorado Springs, CO 80906-4001
Phone (719) 527-2626

Other names 1

  • My Dental Company Doing business as

National Provider Directory

National Provider Directory

Locations

1610 E Cheyenne Mountain Blvd
Ste 120
Colorado Springs, CO 80906
Phone (719) 527-2626

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1275921561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E CHEYENNE MOUNTAIN BLVD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064001",
            "telephone_number": "719-527-2626",
            "fax_number": "719-527-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E CHEYENNE MOUNTAIN BLVD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064001",
            "telephone_number": "719-527-2626",
            "fax_number": "719-527-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG OLSON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "DOUG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-527-2626",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dental Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.