Organization Active NPI

Phillip W. Olrich D.D.S.,Inc.

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1770705386
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22834 Issued in CA
Legal business name
PHILLIP W. OLRICH D.D.S.,INC.
Practice address
407 41St Street
Oakland, CA 94609-2510
Phone
(510) 658-5483
Fax
(510) 658-5484
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. Phillip W. Olrich, D.D.S.NPI 1841651635
Title
President-Dentist
Phone
(510) 658-5483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22834 CA Primary

Addresses

Primary practice location

407 41St Street
Oakland, CA 94609-2510

Mailing address

407 41St Street
Oakland, CA 94609-2510
Phone (510) 658-5483

National Provider Directory

National Provider Directory

Locations

407 41st St
Oakland, CA 94609
Phone (510) 658-5483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1770705386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 41ST STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092510",
            "telephone_number": "510-658-5483",
            "fax_number": "510-658-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 41ST STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092510",
            "telephone_number": "510-658-5483",
            "fax_number": "510-658-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP W. OLRICH D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "OLRICH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT-DENTIST",
        "authorized_official_telephone_number": "510-658-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.