Olson Family Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OLSON FAMILY DENTAL PLLC

Practice address

11550 Sheridan Blvd Ste 101
Westminster, CO 80020-3312

Phone

(720) 464-3901

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Ivan Olson, DDSNPI 1124683818

Title

Owner/Dentist

Phone

(303) 886-2969

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Ivan Olson, DDS

  • General Practice Dentistry
  • Westminster, CO
  • NPI 1124683818
  NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1619586294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 JULIAN ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205841",
            "telephone_number": "303-886-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 SHERIDAN BLVD STE 101",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203312",
            "telephone_number": "720-464-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-886-2969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Oliveira
• Cristin Bazzanella Oliver
• Cathleen Olney, LPC
• Thomas Wolfe Olschner, PH.D.
• Lindsay Renee Olsen, BCBA; M.A
• Abigail Mary Jean Olson
• Amanda J Olson, OT
• Faith Emma Olson, FNP
• Rikard L. Olson, O.D.
• Samuel Ivan Olson, DDS

• Dental Clinic/Center in Westminster, CO
• Providers in Westminster, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.