NPIMap

Organization Active NPI

Olson Dental Corporation

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1679244883
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OLSON DENTAL CORPORATION
Practice address
7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119
Phone
(714) 847-8501
Fax
(714) 908-7715
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Joseph M Olson, DMDNPI 1770837643
Title
Dentist
Phone
(702) 533-5775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119

Mailing address

14 Rue Du Parc
Foothill Ranch, CA 92610-3424
Phone (702) 533-5775

Other identifiers 1

IdentifierTypeStateIssuer
63843OtherCACALIFORNIA DENTAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679244883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RUE DU PARC",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926103424",
            "telephone_number": "702-533-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479119",
            "telephone_number": "714-847-8501",
            "fax_number": "714-908-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "702-533-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "63843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.