NPIMap

Organization Active NPI

John D Olsson

  • Dentist
  • Lakebay, WA
National Provider Identifier
1417334764
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5464 Issued in WA
Legal business name
JOHN D OLSSON
Doing business as
Key Center Family Dentistry
Practice address
9013 Key Peninsula Hwy N
Lakebay, WA 98349-8518
Phone
(253) 884-9455
Fax
(253) 884-9466
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. John D Olsson, DDS
Title
Owner
Phone
(253) 884-9455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5464 WA Primary

Addresses

Primary practice location

9013 Key Peninsula Hwy N
Lakebay, WA 98349-8518

Mailing address

9013 Key Peninsula Hwy N
Lakebay, WA 98349-8518
Phone (253) 884-9455

Other names 1

  • Key Center Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1417334764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983498518",
            "telephone_number": "253-884-9455",
            "fax_number": "253-884-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983498518",
            "telephone_number": "253-884-9455",
            "fax_number": "253-884-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D OLSSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "OLSSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-884-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Center Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakebay, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.