Carson City Pediatric Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CARSON CITY PEDIATRIC DENTISTRY, LLC

Practice address

4530 S Carson St Ste 5
Carson City, NV 89701-6914

Phone

(702) 308-6556

NPI assigned

Feb 28, 2011

Last updated

Sep 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Olson, D.M.D.NPI 1770718850

Title

Manager

Phone

(775) 461-3800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kevin J Olson, D.M.D.

  • Pediatric Dentistry
  • Carson City, NV
  • NPI 1770718850
  NPD (past) Authorized official
• Frederick Jeremy John, D.M.D.

  • Pediatric Dentistry
  • Carson City, NV
  • NPI 1356572226
  NPD (past)

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1730486747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S CARSON ST STE 5",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016914",
            "telephone_number": "775-461-3800",
            "fax_number": "775-461-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S CARSON ST STE 5",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016914",
            "telephone_number": "702-308-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON CITY PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-461-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson City Community Counseling Center
• Carson City Community Healthcare, LLC (Northstar Post Acute)
• Carson City Finance Department (Carson City Fire Department)
• Carson City Finance Dept. (Carson City Health & Human Services)
• Carson City Nephrology, Michael Murphy, MD, Inc. (Carson City Nephrology)
• Carson City School District
• Carson City SNF Ventures LLC (Carson Tahoe Transitional Rehabilitation Center)
• Carson Douglas Anesthesia Services Inc
• Carson Douglas Pain Care, James H. Sullivan, M.D., LTD. (Carson Douglas Pain Care)
• Carson Endoscopy Center, LLC

• Dental Clinic/Center in Carson City, NV
• Providers in Carson City, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.