Susan Olson DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUSAN OLSON DMD INC

Practice address

3261 S. Big Lake Rd. Ste D3-D4
Big Lake, AK 99652

Phone

(907) 892-5669

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By 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

Susan Olson, DMDNPI 1730587007

Title

Dentist

Phone

(949) 748-0710

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Susan Olson, D.M.D

  • Student in an Organized Health Care Education/Training Program
  • Minneapolis, MN
  • NPI 1730587007
  NPD (past) Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1740745439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872461",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996872461",
            "telephone_number": "949-748-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 S. BIG LAKE RD. STE D3-D4",
            "city": "BIG LAKE",
            "state": "AK",
            "postal_code": "99652",
            "telephone_number": "907-892-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN OLSON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-748-0710",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Maixner, ANP
• Renae Jean Nelson
• Brenda Kay Perkins
• Rainbow Medical Clinic
• Paul Allen Schranz, PA-C
• Chrystle Williefay White, LMT
• Justin Corrie Yates

• Dental Clinic/Center in Big Lake, AK
• Providers in Big Lake, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.