Active NPI
Joseph Matthew Olson, DMD
- Dentist
- Huntington Beach, CA
National Provider Identifier
1770837643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63843
- Practice address
- 7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119 - Phone
- (714) 847-8501
- Fax
- (714) 908-7715
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63843 | CA | Primary |
Addresses
Primary practice location
7677 Center Ave Ste 305
Huntington Beach, CA 92647-9119
Mailing address
14 Rue Du Parc
Foothill Ranch, CA 92610-3424
Phone (702) 533-5775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63843 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Kha DDS, Inc | Current | Accepting new patients | |
| Olson Dental Corporation | Current | Accepting new patients | |
| Lee Martin, PC | Past | Accepting new patients |
Locations
7677 Center Ave
Ste 305
Huntington Beach, CA 92647
Phone (714) 847-8501
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Huntington Beach, CA
- NPI 1679244883
-
- General Practice Dentistry
- Huntington Beach, CA
- NPI 1952262743
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1114220878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1770837643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RUE DU PARC",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926103424",
"telephone_number": "702-533-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 CENTER AVE STE 305",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479119",
"telephone_number": "714-847-8501",
"fax_number": "714-908-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JOSEPH",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.