Organization Active NPI

Olson Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • York, PA
National Provider Identifier
1497145296
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
038290 Issued in PA
Legal business name
OLSON ORTHODONTICS PLLC
Practice address
2206 E Market St
York, PA 17402-2850
Phone
(717) 755-1233
NPI assigned
Jan 31, 2015
Last updated
Jan 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Authorized official

Name
Dr. Thomas O Olson, DDS, MS
Title
Owner
Phone
(717) 755-1233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 038290 PA Primary

Addresses

Primary practice location

2206 E Market St
York, PA 17402-2850

Mailing address

2206 E Market St
York, PA 17402-2850
Phone (717) 755-1233

Other identifiers 1

IdentifierTypeStateIssuer
1024778140001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2206 E Market St
York, PA 17402
Phone (717) 755-1233

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1497145296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022850",
            "telephone_number": "717-755-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022850",
            "telephone_number": "717-755-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-755-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "038290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024778140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.