Chad W Ollom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-023254 Issued in OH

Practice address

2115 Allentown Rd
Lima, OH 45805-1749

Phone

(419) 228-4036

Fax

(419) 228-6273

NPI assigned

Jul 13, 2010

Last updated

Jul 13, 2010By 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 OH

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

Practice roles

Locations

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.

• Ollom Dental Group, LLC

  dba Pure Smiles

  • General Practice Dentistry
  • Westerville, OH
  • NPI 1093222598
  NPD Authorized official
• Ollom Dental Sleep Centers LLC

  dba Pure Sleep Solutionzzz

  • General Practice Dentistry
  • Lima, OH
  • NPI 1437718772
  NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Ollom Community Dental, LLC

  • Dental Clinic/Center
  • Lima, OH
  • NPI 1871067504
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1366754723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLOM",
        "first_name": "CHAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Oldfield
• Alisha A Oliphant
• Ollom Community Dental, LLC
• Ollom DDS Lima LLC (Pure Smiles Lima)
• Ollom Dental Sleep Centers LLC (Pure Sleep Solutionzzz)
• Moses Kolawole Olofin, RN
• Ryan Michael Olson, DO
• Sarah L. Olt, MD
• Leandra Oman
• Omar Sweidan OD PLLC

• General Practice Dentistry in Lima, OH
• Providers in Lima, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.