Chad Edward Ollila, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-021198 Issued in OH

Practice address

3637 State Route 5
Cortland, OH 44410-1651

Phone

(330) 638-7122

NPI assigned

Aug 31, 2006

Last updated

Apr 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OH

Eligible to order & refer

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

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1619088473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 STATE ROUTE 5",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101651",
            "telephone_number": "330-638-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 STATE ROUTE 5",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101651",
            "telephone_number": "330-638-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLILA",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-021198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Miles O'Neill, PTA
• Ohio Living Communities (Ohio Living Lake Vista)
• Ohio Living Communities (Ohio Living Lake Vista)
• Ohio North East Health Systems, Inc (Premier Care Pediatrics)
• Ohio North East Health Systems, Inc (Premier Care Pediatrics)
• Dan N Olson, M.D.
• Nadine Omalley, CRNP
• Carolyn Oravec
• David James Oravec, OTR/L
• Allison Orndorff, MSN, CRNP, NP-C

• General Practice Dentistry in Cortland, OH
• Providers in Cortland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.