Joel Olmos Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

63052 Issued in CA

Practice address

10668 Riverside Dr
Toluca Lake, CA 91602-2319

Phone

(818) 760-9912

Fax

(818) 760-9913

NPI assigned

Nov 15, 2013

Last updated

Jul 6, 2016By the provider in NPPES

Sex

Male

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 CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexander Lee Dental Corporation

  • General Practice Dentistry
  • Canyon Country, CA
  • NPI 1265291249
  NPD (past)
• Gina Dorfman, D.D.S., a.P.C.

  dba Dentistry for Kids and Adults, Dental Group

  • General Practice Dentistry
  • Santa Clarita, CA
  • NPI 1891962759
  NPD (past)
• Pema Dental Care

  dba toluca dental care

  • Dental Clinic/Center
  • Toluca Lake, CA
  • NPI 1407188204
  NPD (past)

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1619307485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 SOLEDAD CANYON RD",
            "address_2": "STE 108",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913513723",
            "telephone_number": "661-299-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10668 RIVERSIDE DR",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022319",
            "telephone_number": "818-760-9912",
            "fax_number": "818-760-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMOS",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-15",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golan Nissim, D.C., A.R.T., Q.M.E.
• Roy Nissim, D.C.
• Marielle Beatrix M Nunez, RN
• Nxtgen Labs Inc
• Layla Obledo
• Olympus Lab Group Inc
• Orion Home Health Care, Inc.
• Shirley Otis-Green, MSW, MA, LCSW, OSW-C
• Jeffrey Palmer, D.C.
• Don Alan Paxton, MD

• Dentist in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.