Matthew Quinn Olden, R.T. (R),(T)

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

233121 Issued in NU

Practice address

4004 Dorris Rd
Irving, TX 75038-4003

Phone

(817) 308-0268

Fax

(972) 258-7972

NPI assigned

Apr 2, 2010

Last updated

Apr 2, 2010By the provider in NPPES

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

Other identifiers 2

Other names 1

• Matt Olden Other name

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1497070379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 DORRIS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750384003",
            "telephone_number": "817-308-0268",
            "fax_number": "972-258-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 DORRIS RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750384003",
            "telephone_number": "817-308-0268",
            "fax_number": "972-258-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDEN",
        "first_name": "MATTHEW",
        "middle_name": "QUINN",
        "credential": "R.T. (R),(T)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "TX",
            "license": "19961",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "NU",
            "license": "233121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REGISTRY RADIOLOGIC TECHNOLOGIST",
            "identifier": "233121",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF HEALTH",
            "identifier": "19961",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATT",
            "last_name": "OLDEN",
            "credential": "R.T. (R),(T)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine N Okoronkwo, M.D.
• Francisca Uchenna Okuma
• Zee Okunna, DC
• Brittnae Alexis Olasehinde
• Bekele Chamiso Olbamo, MD
• Bianca Alyssa Olivares
• Jenny M Olivo, MD
• Oluwakemi Blessing Olofinkua, RN
• Adebimpe Abimbola Olofintuyi, DNP
• Bamikole Olowo, APRN, FNP-C

• Radiologic Technologist in Irving, TX
• Providers in Irving, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.