NPIMap

Organization Active NPI

David O Olson, DDS, PC

  • Dentist
  • Bridge City, TX
National Provider Identifier
1457536039
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10154 Issued in TX
Legal business name
DAVID O OLSON, DDS, PC
Practice address
725 W Round Bunch Rd
Bridge City, TX 77611-2435
Phone
(409) 735-4902
Fax
(409) 735-7595
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. David O Olson, DDSNPI 1003978396
Title
Dentist
Phone
(409) 735-4902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10154 TX Primary

Addresses

Primary practice location

725 W Round Bunch Rd
Bridge City, TX 77611-2435

Mailing address

725 W Round Bunch Rd
Bridge City, TX 77611-2435
Phone (409) 735-4902

National Provider Directory

National Provider Directory

Locations

725 W Round Bunch Rd
Bridge City, TX 77611
Phone (409) 735-4902

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1457536039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112435",
            "telephone_number": "409-735-4902",
            "fax_number": "409-735-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ROUND BUNCH RD",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112435",
            "telephone_number": "409-735-4902",
            "fax_number": "409-735-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID O OLSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "409-735-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "10154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridge City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.