Organization Active NPI

Oltjen Orthodontics, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Olathe, KS
National Provider Identifier
1780940213
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6865 Issued in KS
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

15159 S Blackbob Rd
Olathe, KS 66062
Phone (913) 764-4333

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.

Verify at the official NPI Registry.