Brenen Olsen, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE61136165 Issued in WA

Practice address

304 N Chelan Ave
Wenatchee, WA 98801-2107

Phone

(509) 663-0068

NPI assigned

Apr 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Johnson and McDonald, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Wenatchee, WA
  • NPI 1639673510
  NPD (past)
• Liberty ASC

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1609345727
  NPD (past)
• Starkweather Orthopedic & Sports Medicine Clinic

  • Specialist
  • Wenatchee, WA
  • NPI 1568638575
  NPD (past)

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1801320221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012107",
            "telephone_number": "509-663-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012107",
            "telephone_number": "509-663-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 N Sullivan Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "990378535",
            "country_code": "US",
            "telephone_number": "509-922-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Calgary Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838544000",
            "country_code": "US",
            "telephone_number": "509-922-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263330",
            "country_code": "US",
            "telephone_number": "509-663-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 S Pilgrim St",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988374623",
            "country_code": "US",
            "telephone_number": "509-663-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "BRENEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DL13313",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D5245",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61136165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Ogburn, MD
• Cecilia A Ohman, N.P.
• Adriana Ohrazda
• Gricelda Ohrazda
• Christy Marie Oldham, CDP
• Amanda Olson, LMT
• Brianna Olson
• Catherine Olson, PHARM D
• Eric J Olson, MD
• Laura Jill Olson, RD

• Oral and Maxillofacial Surgery (Dentist) in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.