Organization Active NPI

Olsen Brothers Dental P.L.L.C.

  • General Practice Dentistry
  • Tempe, AZ
National Provider Identifier
1740465244
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7230 Issued in AZ
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

Updated by the provider on Jan 2, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7230 AZ Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7390 AZ
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.