Ronald a. Mikkelson DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RONALD A. MIKKELSON DDS, PS

Practice address

140 Percival St NW Ste B
Olympia, WA 98502-5438

Phone

(360) 754-4949

Fax

(360) 754-4948

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald A Mikkelsoon, DDS

Title

President

Phone

(360) 754-4949

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronald A Mikkelson, DDS

  • Dentist
  • Olympia, WA
  • NPI 1255407250
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699898775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PERCIVAL ST NW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025438",
            "telephone_number": "360-754-4949",
            "fax_number": "360-754-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PERCIVAL ST NW STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025438",
            "telephone_number": "360-754-4949",
            "fax_number": "360-754-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A. MIKKELSON DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKKELSOON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-754-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardenia Roman Roman Duran
• Gerald Romasco
• Christine Romero
• Raquel Romero
• Stephanie Romine, ARNP
• Ronald M Ko, DMD, P.C.
• Sonja Ronning, MD
• Joseph A Rood, PA-C
• Valarie Sue Rooker
• Eva Maria Rooks, MA, LMHC

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• 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.