Ava Lauren Hood-Olson, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019.027173 Issued in IL

Practice address

741 W State St
Suite 2
O Fallon, IL 62269-1971

Phone

(618) 624-0800

Fax

(618) 624-0053

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kirk D. Satrom, DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • O Fallon, IL
  • NPI 1669778601
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1528166253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HODGENS MILL LN",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696623",
            "telephone_number": "618-589-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W STATE ST",
            "address_2": "SUITE 2",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691971",
            "telephone_number": "618-624-0800",
            "fax_number": "618-624-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD-OLSON",
        "first_name": "AVA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019.027173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Arabelle Reyes Holmes, OTR/L
• Patti Holmes, RBT
• Brandy Holthaus, NP
• Weston Allen Holzinger, D.C.
• Honu Kai Practice LLC
• Stuart W Horin, D.C.
• Howell Pharmacy LLC
• Kristen Lynn Hrasky
• Barbara Ann Hubert, PT
• Hudson Pediatric Therapy PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.