Active NPI
Shannon Denis Olivier, DT-DO-10156558
- Denturist
- Eugene, OR
National Provider Identifier
1619786597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DT-DO-10156558
- Practice address
- 2377 Oakmont Way
Eugene, OR 97401-6459 - Phone
- (542) 762-2747
- NPI assigned
- Jan 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DT-DO-10156558 | Primary |
Addresses
Primary practice location
2377 Oakmont Way
Eugene, OR 97401-6459
Mailing address
2377 Oakmont Way
Eugene, OR 97401-6459
Phone (541) 762-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1619786597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2377 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016459",
"telephone_number": "541-762-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2377 OAKMONT WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016459",
"telephone_number": "542-762-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "SHANNON",
"middle_name": "DENIS",
"credential": "DT-DO-10156558",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": null,
"license": "DT-DO-10156558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.