Organization Active NPI

Olsen & Allred DDS PLLC

Doing business as Oak Ridge Dental Arts

  • General Practice Dentistry
  • Davidson, NC
National Provider Identifier
1821443722
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9733 Issued in NC
Legal business name
OLSEN & ALLRED DDS PLLC
Doing business as
Oak Ridge Dental Arts
Practice address
455 S Main St
Suite 200
Davidson, NC 28036-8019
Phone
(704) 997-3164
Fax
(704) 997-3165
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Dr. Alexander W Allred, DMD
Title
Dentist
Phone
(704) 997-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9733 NC Primary

Addresses

Primary practice location

455 S Main St
Suite 200
Davidson, NC 28036-8019

Mailing address

455 S Main St
Suite 200
Davidson, NC 28036-8019
Phone (704) 997-3164

Other names 1

  • Oak Ridge Dental Arts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1821443722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368019",
            "telephone_number": "704-997-3164",
            "fax_number": "704-997-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368019",
            "telephone_number": "704-997-3164",
            "fax_number": "704-997-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN & ALLRED DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-997-3164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Ridge Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.