Active NPI
Oltjen Orthodontics, PA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6865
- Legal business name
- OLTJEN ORTHODONTICS, PA
- Practice address
- 15159 S. Blackbob Rd.
Olathe, KS 66062-3304 - Phone
- (913) 764-4333
- NPI assigned
- Apr 10, 2012
- Last updated
- Nov 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay Michael Oltjen, ORTHODONTIST
- Title
- Dr & Owener
- Phone
- (913) 764-4333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6865 | KS | Primary |
Addresses
Primary practice location
15159 S. Blackbob Rd.
Olathe, KS 66062-3304
Mailing address
15159 S. Blackbob Rd.
Olathe, KS 66062-3304
Phone (913) 764-4333
National Provider Directory
National Provider DirectoryLocations
15159 S Blackbob Rd
Olathe, KS 66062
Phone (913) 764-4333
Practitioners & affiliated clinicians
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Olathe, KS
- NPI 1619098258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480464000000",
"number": "1780940213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15159 S. BLACKBOB RD.",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623304",
"telephone_number": "913-764-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15159 S. BLACKBOB RD.",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623304",
"telephone_number": "913-764-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLTJEN ORTHODONTICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-10",
"last_updated": "2016-11-30",
"status": "A",
"authorized_official_last_name": "OLTJEN",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DR & OWENER",
"authorized_official_telephone_number": "913-764-4333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ORTHODONTIST"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "KS",
"license": "6865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.