Oleksandra Olishkevych

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10000488 Issued in MA

Practice address

8415 N Pima Rd Ste 275
Scottsdale, AZ 85258-4488

Phone

(623) 299-8799

Fax

(623) 299-8799

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Dentist

Education

Boston Univ Goldman School of Dental Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1699537183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WASHINGTON PARK APT 3",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024601940",
            "telephone_number": "872-772-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD STE 275",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584488",
            "telephone_number": "623-299-8799",
            "fax_number": "623-299-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLISHKEVYCH",
        "first_name": "OLEKSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000488",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Town Pain Professionals LLC
• Lindy Olds, MS, CCC-SLP
• Diane Marie Olea-del Rio, APRN, FNP-C
• Olachi Oleru, MD
• Sandra Olic, NMD
• Norma Olivares, LMSW
• Edward Oliver, L.M.T
• Nicole Oliver
• Royce Oliver, RN
• Shannon Oliver I

• All providers in Scottsdale, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.