Active NPI
Sheldon Arnold Olesen, D.D.S.
- Dentist
- Siren, WI
National Provider Identifier
1356477913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3249
- Practice address
- 24164 Highway 35
Siren, WI 54872-0299 - Phone
- (715) 349-2297
- Fax
- (715) 349-2298
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- 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 | 3249 | WI | Primary |
Addresses
Primary practice location
24164 Highway 35
Siren, WI 54872-0299
Mailing address
PO Box 299
Siren, WI 54872-0299
Phone (715) 349-2297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3249 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356477913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "SIREN",
"state": "WI",
"postal_code": "548720299",
"telephone_number": "715-349-2297",
"fax_number": "715-349-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24164 HIGHWAY 35",
"city": "SIREN",
"state": "WI",
"postal_code": "548720299",
"telephone_number": "715-349-2297",
"fax_number": "715-349-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLESEN",
"first_name": "SHELDON",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siren, WI
- Dawn Renee Merchant, MA, LPCC
- Natural Connections Counseling LLC
- Northwest Counseling and Guidance Clinic (Northwest Directions - Siren)
- Northwest Counseling and Guidance Clinic- Siren Day Treatment
- Oak Park Dental Clinic (Siren Dental Clinic)
- John D Peterson, PHARMD.
- Tiffany D Peterson, PHARMD
- Jodi Reed, RN
- Michael R Rossow
- School District of Siren
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.