Gary B. Olson

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

5001723-005 Issued in WI

Legal business name

GARY B. OLSON

Practice address

3930 8TH St S
Suite 202
Wisconsin Rapids, WI 54494-6511

Phone

(715) 421-3366

Fax

(715) 421-3353

NPI assigned

Aug 1, 2011

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary B Olson, DDSNPI 1558357863

Title

Owner

Phone

(715) 421-3366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary B Olson, DDS

  • General Practice Dentistry
  • Wisconsin Rapids, WI
  • NPI 1558357863
  Authorized official Same address or phone

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1437437910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 202",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-421-3366",
            "fax_number": "715-421-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 202",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-421-3366",
            "fax_number": "715-421-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B. OLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-421-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": "5001723-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachariah Dillon Flint, DMD
• Michael John Foley Sr., CSAC
• Forefront Dermatology, S.C.
• Douglas Galuk, M.D.
• Riley Garski, APSW SAC-IT
• Wallace L Gehring, RPH
• Remi Geiger, MS, CF-SLP
• Catherine Isabel Gendreau, MSOT, OTR/L
• Gerald M. Voelker D.D.S.
• Giulio Germano, DACM DIPL.

• Customized Equipment (DME) in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.