NPIMap

Organization Active NPI

Paul T. Olenyn, D.D.S., LTD.

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1689758112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401004908 Issued in VA
Legal business name
PAUL T. OLENYN, D.D.S., LTD.
Practice address
5207 Lyngate CT # a
Burke, VA 22015-1660
Phone
(703) 978-8560
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Thomas Olenyn, D.D.S.NPI 1982788402
Title
President
Phone
(703) 978-8560

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 Dentistry 1223G0001X 0401004908 VA Primary

Addresses

Primary practice location

5207 Lyngate CT # a
Burke, VA 22015-1660

Mailing address

5207 Lyngate CT # a
Burke, VA 22015-1660
Phone (703) 978-8560

National Provider Directory

National Provider Directory

Locations

5207 Lyngate Ct
#A
Burke, VA 22015
Phone (703) 978-8560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689758112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 LYNGATE CT # A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151660",
            "telephone_number": "703-978-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 LYNGATE CT # A",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151660",
            "telephone_number": "703-978-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T. OLENYN, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLENYN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-978-8560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.