Active NPI
Matthew John Olmsted, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oak Ridge, NC
National Provider Identifier
1508023946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8582
- Practice address
- 2205 Oak Ridge Rd
Suite CC
Oak Ridge, NC 27310-8728 - Phone
- (336) 441-8301
- Fax
- (336) 441-8302
- NPI assigned
- May 22, 2008
- Last updated
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8582 | NC | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8582 | NC | Primary |
Addresses
Primary practice location
2205 Oak Ridge Rd
Suite CC
Oak Ridge, NC 27310-8728
Mailing address
2205 Oak Ridge Rd
Suite CC
Oak Ridge, NC 27310-8728
Phone (336) 441-8301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8582 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew J. Olmsted, DDS Ms PLLC | Orthodontics and Dentofacial Orthopedics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Olmsted Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oak Ridge, NC
- NPI 1255757167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1508023946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 OAK RIDGE RD",
"address_2": "SUITE CC",
"city": "OAK RIDGE",
"state": "NC",
"postal_code": "273108728",
"telephone_number": "336-441-8301",
"fax_number": "336-441-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 OAK RIDGE RD",
"address_2": "SUITE CC",
"city": "OAK RIDGE",
"state": "NC",
"postal_code": "273108728",
"telephone_number": "336-441-8301",
"fax_number": "336-441-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMSTED",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8582",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "8582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, NC
- Northstate Medical Associates P.a.
- Novant Health Medical Group, LLC (Novant Health Forsyth Pediatrics)
- Novant Health Medical Group, LLC (Novant Health Northwest Family Medicine)
- Oak Ridge Counseling PLLC
- Oak Ridge Physical Therapy, Inc.
- P 356 Enterprises, Inc (Crossroads Pharmacy)
- Malori Parsells
- Umabala Pasupala, M.D.
- Sherilyn Kay Peachey, MA, LPC
- Kimberly Yates Portis, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.