Organization Active NPI

Olive Medical Services

  • Durable Medical Equipment & Medical Supplies
  • Washington, DC
National Provider Identifier
1700982121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
21465XXXX-116852 Issued in DC
Legal business name
OLIVE MEDICAL SERVICES
Practice address
1717 K St NW
Suite 600
Washington, DC 20036-5346
Phone
(202) 508-3889
Fax
(202) 442-4429
NPI assigned
Sep 15, 2006
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
Onyebuchi Kingsley Iweka
Title
Manager
Phone
(202) 508-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 21465XXXX-116852 DC Primary

Addresses

Primary practice location

1717 K St NW
Suite 600
Washington, DC 20036-5346

Mailing address

1717 K St NW
Suite 600
Washington, DC 20036-5346
Phone (202) 508-3889

Other identifiers 1

IdentifierTypeStateIssuer
21465XXXX-116852OtherDCUNIQUE BUSINESS ID

National Provider Directory

National Provider Directory

Locations

1717 K St NW
Ste 600
Washington, DC 20006
Phone (202) 236-0911

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700982121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 K ST NW",
            "address_2": "SUITE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365346",
            "telephone_number": "202-508-3889",
            "fax_number": "202-442-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 K ST NW",
            "address_2": "SUITE 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365346",
            "telephone_number": "202-508-3889",
            "fax_number": "202-442-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IWEKA",
        "authorized_official_first_name": "ONYEBUCHI",
        "authorized_official_middle_name": "KINGSLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-508-3889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DC",
            "license": "21465XXXX-116852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIQUE BUSINESS ID",
            "identifier": "21465XXXX-116852",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

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.