Active NPI
Olsen Brothers Dental P.L.L.C.
- General Practice Dentistry
- Tempe, AZ
National Provider Identifier
1740465244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7230
- Legal business name
- OLSEN BROTHERS DENTAL P.L.L.C.
- Practice address
- 1840 E Baseline Rd
Ste a-2
Tempe, AZ 85283-1527 - Phone
- (480) 491-9911
- Fax
- (480) 491-9921
- NPI assigned
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian F Olsen, D.D.S.
- Title
- Manager
- Phone
- (480) 491-9911
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7230 | AZ | Primary |
| General Practice Dentistry | 1223G0001X | 7390 | AZ | |
| General Practice Dentistry | 1223G0001X | 7393 | AZ |
Addresses
Primary practice location
1840 E Baseline Rd
Ste a-2
Tempe, AZ 85283-1527
Mailing address
1840 E Baseline Rd
Ste a-2
Tempe, AZ 85283-1527
Phone (480) 491-9911
Other names 1
- Emergency Dental Care USA
National Provider Directory
National Provider DirectoryLocations
1840 E Baseline Rd
Ste A2
Tempe, AZ 85283
Phone (480) 491-9911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1740465244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 E BASELINE RD",
"address_2": "STE A-2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831527",
"telephone_number": "480-491-9911",
"fax_number": "480-491-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 E BASELINE RD",
"address_2": "STE A-2",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831527",
"telephone_number": "480-491-9911",
"fax_number": "480-491-9921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLSEN BROTHERS DENTAL P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "OLSEN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-491-9911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7230",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7390",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7393",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emergency Dental Care USA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.