Christopher Steven Olsen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

175429 Issued in AK

Practice address

203 S Santa Claus LN Ste a
North Pole, AK 99705-7711

Phone

(907) 488-1515

NPI assigned

Jun 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1427543784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 RICHARDSON HWY",
            "city": "SALCHA",
            "state": "AK",
            "postal_code": "997149771",
            "telephone_number": "801-580-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S SANTA CLAUS LN STE A",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057711",
            "telephone_number": "907-488-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Two Embarcadero Center",
            "address_2": "Promenade Level",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94111",
            "country_code": "US",
            "telephone_number": "415-398-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102648",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "175429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Pole Physical Therapy, Inc
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• North Pole Prescription Laboratory Inc
• North Pole Veterinary Hospital, Inc
• Penney Puanani Oguma, BA, CDCS,CSAC, ICADC
• Kayla M Osborne, DPT
• Samuel Owings
• Kassidy Saige Pehrson, PTA
• Peter Marshall, M.D.
• Christy Renee Pichette, BS, CDCI

• General Practice Dentistry in North Pole, AK
• Providers in North Pole, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.