Active NPI
Bryan Daniel Olson, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1669574919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5857
- Practice address
- 3340 NE 125TH St
Seattle, WA 98125 - Phone
- (206) 363-6868
- Fax
- (206) 363-0290
- NPI assigned
- Sep 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5857 | WA | Primary |
Addresses
Primary practice location
3340 NE 125TH St
Seattle, WA 98125
Mailing address
3340 NE 125TH St
Seattle, WA 98125
Phone (206) 363-6868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5857 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Cheng DMD PLLC | Past | Accepting new patients | |
| Chiang Frost Chiang, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lake City Cosmetic Dentistry, PLLC
- General Practice Dentistry
- Seattle, WA
- NPI 1356539639
-
dba Lake City Dental Group
- General Practice Dentistry
- Seattle, WA
- NPI 1346634300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669574919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 NE 125TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "206-363-6868",
"fax_number": "206-363-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 NE 125TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "206-363-6868",
"fax_number": "206-363-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "BRYAN",
"middle_name": "DANIEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "5857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.