Individual provider Active NPI

Stefan Stanislaw Olpinski, DDS

  • Prosthodontics
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1669452157
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN.00007746 Issued in CO
Practice address
4070 Stanley Rd Ste 214
Jbsa Ft Sam Houston, TX 78234-2714
Phone
(210) 221-8723
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D6917 OR
Dentist 122300000X 7746 CO
General Practice Dentistry 1223G0001X DEN-7746 CO
General Practice Dentistry 1223G0001X D6917 OR
Prosthodontics 1223P0700X DEN.00007746 CO Primary

Addresses

Primary practice location

4070 Stanley Rd Ste 214
Jbsa Ft Sam Houston, TX 78234-2714

Mailing address

1181 Army Blvd
Suite 2017
Jbsa Fort Sam Houston, TX 78234
Phone (210) 221-0826

Other names 1

  • Dr. Stephan S Olpinski Other name

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

State licenses

LicenseStateTypeSpecialty
7746COMDDentist
DEN-7746COMDGeneral Practice Dentistry
D6917ORMDGeneral Practice Dentistry
DEN.00007746COMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1669452157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 ARMY BLVD",
            "address_2": "SUITE 2017",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-221-0826",
            "fax_number": "210-221-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 STANLEY RD STE 214",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342714",
            "telephone_number": "210-221-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLPINSKI",
        "first_name": "STEFAN",
        "middle_name": "STANISLAW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6917",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7746",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-7746",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6917",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "DEN.00007746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHAN",
            "last_name": "OLPINSKI",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.