Kristin Ann Olsen-Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19192 Issued in MA

Practice address

1 Wallis CT
Lexington, MA 02421-5416

Phone

(781) 862-1338

Fax

(781) 862-3544

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By the provider in NPPES

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 MA

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

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1588997217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLIS CT",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215416",
            "telephone_number": "781-862-1338",
            "fax_number": "781-862-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLIS CT",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215416",
            "telephone_number": "781-862-1338",
            "fax_number": "781-862-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN-SMITH",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seung Hee Oh, MA
• Kyoko Ohashi
• Margaret Rose Oidtmann, MA
• Chisom Cynthia Okpoko
• Sophia Oldsman
• Daniel Raymond Olsen, DDS
• Beverly Ong, FNP-BC
• Original Gordon Optical Company (Gordon Optical Co.)
• Larry Ork
• Abigail Ortiz-Miller

• General Practice Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.