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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 5940
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | 5940 | NC | Primary |
| Denturist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Donna B Olsen Dda and Richard a Olsen DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Olsen General Dentistry
- General Practice Dentistry
- Mooresville, NC
- NPI 1023213998
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.