Active NPI
Christopher Olsen, D.D.S.
- Dentist
- Truman, MN
National Provider Identifier
1326422817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13596
- Practice address
- 403 N 4TH Ave E
Truman, MN 56088-1108 - Phone
- (507) 776-7901
- Fax
- (507) 776-8284
- NPI assigned
- Jul 14, 2015
- Last updated
- Jun 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13596 | MN | Primary |
Addresses
Primary practice location
403 N 4TH Ave E
Truman, MN 56088-1108
Mailing address
403 N 4TH Ave E
Truman, MN 56088-1108
Phone (507) 776-7901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161208000239 | MN | Order and Referring Only - Dentist | 2668752601 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13596 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Lampi Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Point of Service
- Truman, MN
- NPI 1235577750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1326422817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 N 4TH AVE E",
"city": "TRUMAN",
"state": "MN",
"postal_code": "560881108",
"telephone_number": "507-776-7901",
"fax_number": "507-776-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 N 4TH AVE E",
"city": "TRUMAN",
"state": "MN",
"postal_code": "560881108",
"telephone_number": "507-776-7901",
"fax_number": "507-776-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "CHRISTOPHER",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truman, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.