Active NPI
Cynthia Hanner Olenwine, DMD
- General Practice Dentistry
- Bethlehem, PA
National Provider Identifier
1396840989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS025813L
- Practice address
- 511 E 3Rd St Unit 301
Bethlehem, PA 18015 - Phone
- (484) 526-2460
- Fax
- (484) 526-2466
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS025813L | PA | Primary |
Addresses
Primary practice location
511 E 3Rd St Unit 301
Bethlehem, PA 18015
Mailing address
12 W Walnut St
Nazareth, PA 18064-2032
Phone (610) 509-0782
Other practice location 1
222 E Mountain Rd
Wind Gap, PA 18091-9728
Phone (610) 509-0782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232871448 | Other | PA | TAX ID |
Other names 1
- Cynthia H Olenwine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20161004002340 | PA | Order and Referring Only - Oral Surgery | 2163710328 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1396840989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 W WALNUT ST",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180642032",
"telephone_number": "610-509-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E 3RD ST UNIT 301",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18015",
"telephone_number": "484-526-2460",
"fax_number": "484-526-2466"
}
],
"practiceLocations": [
{
"address_1": "222 E Mountain Rd",
"address_purpose": "LOCATION",
"city": "Wind Gap",
"state": "PA",
"postal_code": "180919728",
"country_code": "US",
"telephone_number": "610-509-0782",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLENWINE",
"first_name": "CYNTHIA",
"middle_name": "HANNER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS025813L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "232871448",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "OLENWINE",
"middle_name": "H",
"credential": "DMD, MPH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.