Active NPI
Gregory William Olson, DDS, MS
- Pediatric Dentistry
- Houston, TX
National Provider Identifier
1639186281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 34762
- Practice address
- 7500 Cambridge St Ste 3410
Houston, TX 77054-2032 - Phone
- (713) 500-8222
- NPI assigned
- Aug 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 43475 | CA | |
| Pediatric Dentistry | 1223P0221X | 43475 | CA | |
| Pediatric Dentistry | 1223P0221X | 34762 | TX | Primary |
Addresses
Primary practice location
7500 Cambridge St Ste 3410
Houston, TX 77054-2032
Mailing address
7500 Cambridge St Ste 3410
Houston, TX 77054-2032
Other practice location 1
914 Riverview Dr
Redlands, CA 92374-1819
Phone (909) 253-1296
Other practice location 2
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43475 | CA | MD | Pediatric Dentist |
| 34762 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1639186281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 CAMBRIDGE ST STE 3410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CAMBRIDGE ST STE 3410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542032",
"telephone_number": "713-500-8222"
}
],
"practiceLocations": [
{
"address_1": "914 Riverview Dr",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923741819",
"country_code": "US",
"telephone_number": "909-253-1296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6411 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-704-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSON",
"first_name": "GREGORY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2022-11-09",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "43475",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "43475",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "34762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.