Evan G Olson DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9473 Issued in OR

Legal business name

EVAN G OLSON DDS LLC

Doing business as

Coppertop Family Dentistry

Practice address

3818 SW 21St PL
Suite 202
Redmond, OR 97756-6801

Phone

(541) 923-5927

NPI assigned

Dec 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Evan Olson, DDS

Title

Owner

Phone

(541) 923-5927

Specialties & licenses 1

Addresses

Other names 1

• Coppertop Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard H Fixott, DDS

  • General Practice Dentistry
  • Redmond, OR
  • NPI 1194781419
  NPD (past)

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

{
    "created_epoch": "1419120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419120000000",
    "number": "1508264706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 SW 21ST PL",
            "address_2": "SUITE 202",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566801",
            "telephone_number": "541-923-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 SW 21ST PL",
            "address_2": "SUITE 202",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566801",
            "telephone_number": "541-923-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN G OLSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-21",
        "last_updated": "2014-12-21",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-923-5927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coppertop Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas N Ernst, MD
• Kohleen E Ervin, RD, CSR, LD
• Matthew M Eschelbach, DO
• Leslie Estrada Burgos, BEHAVIOR TECHNICIAN
• Ethos Therapy Services LLC
• Cheryl Anne Evan
• Brenda Rene' Evans, L.M.T.
• Elizabeth Evans, MS, CF-SLP
• Nycol Evans, QMHA
• Shirlee Evans, P.T.

• General Practice Dentistry in Redmond, OR
• Providers in Redmond, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.