NPIMap

Organization Active NPI

Shelley Barker Olson, DDS, PA

  • Dentist
  • Oxford, NC
National Provider Identifier
1730474131
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7405 Issued in NC
Legal business name
SHELLEY BARKER OLSON, DDS, PA
Practice address
1104 College St
Oxford, NC 27565-2552
Phone
(919) 693-4090
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Shelley Olson, DDSNPI 1033260948
Title
Dentist
Phone
(919) 693-4090

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7405 NC Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3845 NC
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 7017 NC

Addresses

Primary practice location

1104 College St
Oxford, NC 27565-2552

Mailing address

PO Box 189
Oxford, NC 27565-0189
Phone (919) 693-4090

National Provider Directory

National Provider Directory

Locations

1104 College St
Oxford, NC 27565
Phone (919) 690-1144

Practitioners & affiliated clinicians

Practitioners 2

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": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1730474131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650189",
            "telephone_number": "919-693-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652552",
            "telephone_number": "919-693-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY BARKER OLSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-693-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7405",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "3845",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.