Organization Active NPI

Donna B Olsen Dda and Richard a Olsen DDS PA

Doing business as Olsen and Olsen General Dentistry

  • Denturist
  • Charlotte, NC
National Provider Identifier
1558357293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
5940 Issued in NC
Legal business name
DONNA B OLSEN DDA AND RICHARD A OLSEN DDS PA
Doing business as
Olsen and Olsen General Dentistry
Practice address
8401 Medical Plaza Dr
Suite 100
Charlotte, NC 28262-8797
Phone
(704) 593-1090
Fax
(704) 593-1092
NPI assigned
Sep 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donna Barbaglia Olsen, DMD
Title
Owner President Dentist
Phone
(704) 593-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X 5940 NC Primary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X 5941 NC

Addresses

Primary practice location

8401 Medical Plaza Dr
Suite 100
Charlotte, NC 28262-8797

Mailing address

8401 Medical Plaza Dr
Suite 100
Charlotte, NC 28262-8797
Phone (704) 593-1090

Other names 1

  • Olsen and Olsen General Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donna B Olsen Dda and Richard a Olsen DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8401 Medical Plaza Dr
Ste 100
Charlotte, NC 28262
Phone (704) 593-1090

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558357293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628797",
            "telephone_number": "704-593-1090",
            "fax_number": "704-593-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628797",
            "telephone_number": "704-593-1090",
            "fax_number": "704-593-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA B OLSEN DDA AND RICHARD A OLSEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "BARBAGLIA",
        "authorized_official_title_or_position": "OWNER PRESIDENT DENTIST",
        "authorized_official_telephone_number": "704-593-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "NC",
            "license": "5940",
            "primary": true
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "NC",
            "license": "5941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olsen and Olsen General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.