Individual provider Active NPI

Matthew John Olmsted, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oak Ridge, NC
National Provider Identifier
1508023946
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8582 Issued in 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
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8582NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.