Individual provider Active NPI

Edward L Olcese, DDS

  • General Practice Dentistry
  • Wadesboro, NC
National Provider Identifier
1407083108
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8825 Issued in NC
Practice address
148 E Morgan St
Wadesboro, NC 28170-2202
Phone
(704) 695-1588
Fax
(704) 695-1534
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8825 NC Primary

Addresses

Primary practice location

148 E Morgan St
Wadesboro, NC 28170-2202

Mailing address

148 E Morgan St
Wadesboro, NC 28170-2202
Phone (704) 695-1588

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

LicenseStateTypeSpecialty
8825NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edward L Olcese DDS PLLC General Practice Current Accepting new patients

Locations

148 E Morgan St
Wadesboro, NC 28170
Phone (704) 694-2961

148 E Morgan St
Ste A
Wadesboro, NC 28170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1407083108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 E MORGAN ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702202",
            "telephone_number": "704-695-1588",
            "fax_number": "704-695-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E MORGAN ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702202",
            "telephone_number": "704-695-1588",
            "fax_number": "704-695-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCESE",
        "first_name": "EDWARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.