Active NPI
Dallin R. Olson, MD
- Family Medicine Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11018524A
- Practice address
- 221 N Celia Ave
Muncie, IN 47303-4609 - Phone
- (765) 747-3141
- Fax
- (765) 747-3175
- NPI assigned
- Jun 15, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11018524A | IN | Primary |
Addresses
Primary practice location
221 N Celia Ave
Muncie, IN 47303-4609
Mailing address
221 N Celia Ave
Muncie, IN 47303-4609
Phone (765) 747-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181030001388 | UT | Practitioner - Family Practice | 8123331170 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
1380 E Medical Ctr Dr
Suite 1400
St George, UT 84790-2127
Phone (435) 251-2600
159 N Main St
Manti, UT 84642-1257
Phone (435) 835-3344
525 N Main St
Ephraim, UT 84627-1155
Phone (435) 283-4076
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health Home Health - Mt. Pleasant
- Intermountain Health Hospice - Salt Lake
- Intermountain Health Sanpete Valley Hospital
- St. George Regional Hospital
- Gunnison Valley Hospital
- Intermountain Health Utah Valley Hospital
- Mission at Community Living Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018524A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
159 N Main St
Manti, UT 84642
Phone (435) 835-3344
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Organizations & group practices 4
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.
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- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mt Pleasant, UT
- NPI 1649345075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1770964751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N CELIA AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034609",
"telephone_number": "765-747-3141",
"fax_number": "765-747-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 N CELIA AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034609",
"telephone_number": "765-747-3141",
"fax_number": "765-747-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DALLIN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11018524A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.