John W Olson, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4930 Issued in KY

Practice address

University of Louisville School of Dentistry
501 S. Preston St.
Louisville, KY 40292

Phone

(502) 852-5128

Fax

(502) 852-7163

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760578587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY",
            "address_2": "501 S. PRESTON ST.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40292",
            "telephone_number": "502-852-5128",
            "fax_number": "502-852-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY",
            "address_2": "501 S. PRESTON ST.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40292",
            "telephone_number": "502-852-5128",
            "fax_number": "502-852-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Ann Olsen
• Vincent F Olshove Jr., CCP
• John N Olsofka, M.D.
• Angie C Olson, LCSW
• Erik K Olson, MD
• Walter L Olson, Jr., MD
• Marianne Olson, MS, GC
• Merrideth Louise Olson, BA, RBT
• Oliver Elliott Olson, APRN-NP
• Stephanie Olson, OT

• Periodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Periodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.