Organization Active NPI

Dr.'S Fritz & Olson, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesapeake, VA
National Provider Identifier
1477768489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4845 Issued in VA
Legal business name
DR.'S FRITZ & OLSON, P.C.
Practice address
4037 Taylor Rd
Suite B
Chesapeake, VA 23321-5535
Phone
(757) 484-9441
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn W Fritz
Title
President and Treasurer
Phone
(757) 484-9441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 4845 VA Primary

Addresses

Primary practice location

4037 Taylor Rd
Suite B
Chesapeake, VA 23321-5535

Mailing address

4037 Taylor Rd
Suite B
Chesapeake, VA 23321-5535
Phone (757) 484-9441

National Provider Directory

National Provider Directory

Locations

4037 Taylor Rd
Ste B
Chesapeake, VA 23321
Phone (757) 484-9441

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477768489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 TAYLOR RD",
            "address_2": "SUITE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215535",
            "telephone_number": "757-484-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 TAYLOR RD",
            "address_2": "SUITE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215535",
            "telephone_number": "757-484-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.'S FRITZ & OLSON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "757-484-9441",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.