Matthew John Olmsted, DDS, MS

Key facts

NPI: 1508023946
Entity type: Individual (NPI type 1)
Primary specialty: Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License: 8582 (NC)
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
Sex: Male
Sole proprietor: No

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.

Matthew J. Olmsted, DDS Ms PLLC Orthodontics and Dentofacial Orthopedics Dentistry · Oak Ridge, NC · NPI 1255757167

NPD (past) Authorized official ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
8582	NC	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Matthew J. Olmsted, DDS Ms PLLC	Orthodontics and Dentofacial Orthopedics	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	8582	NC
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	8582	NC	Yes

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

Other identifiers

Identifier	Type	State	Issuer
5919809	Medicaid	NC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2014.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919809",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NC

All providers in Oak Ridge, NC · Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.