Individual provider Active NPI

Sarah Nicole Olim, D.D.S.

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1467748061
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27073 Issued in TX
Practice address
1615 S Fry Rd
Katy, TX 77450-6404
Phone
(281) 492-6546
Fax
(281) 492-0799
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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 27073 TX Primary

Addresses

Primary practice location

1615 S Fry Rd
Katy, TX 77450-6404

Mailing address

1615 S Fry Rd
Katy, TX 77450-6404
Phone (281) 492-6546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002144 TX Order and Referring Only - DentistPractitioner - Dentist 8820393879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27073TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin J Olim DDS & Associates PC Past Accepting new patients

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1467748061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506404",
            "telephone_number": "281-492-6546",
            "fax_number": "281-492-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506404",
            "telephone_number": "281-492-6546",
            "fax_number": "281-492-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIM",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.