Active NPI
Scott Cordell Olsen, D.D.S.
- General Practice Dentistry
- Butte, MT
National Provider Identifier
1841215167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1780
- Practice address
- 445 Centennial Ave
Butte, MT 59701-2870 - Phone
- (406) 496-6007
- Fax
- (406) 496-6020
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1780 | MT | Primary |
Addresses
Primary practice location
445 Centennial Ave
Butte, MT 59701-2870
Mailing address
115 S Pacific St
Dillon, MT 59725-2752
Phone (406) 683-2671
Other practice location 1
115 S Pacific St
Dillon, MT 59725-2752
Phone (406) 683-2671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1780 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deirdre J Singer DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Dillon, MT
- NPI 1932597374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1841215167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S PACIFIC ST",
"city": "DILLON",
"state": "MT",
"postal_code": "597252752",
"telephone_number": "406-683-2671",
"fax_number": "406-496-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 CENTENNIAL AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597012870",
"telephone_number": "406-496-6007",
"fax_number": "406-496-6020"
}
],
"practiceLocations": [
{
"address_1": "115 S Pacific St",
"address_purpose": "LOCATION",
"city": "Dillon",
"state": "MT",
"postal_code": "597252752",
"country_code": "US",
"telephone_number": "406-683-2671",
"fax_number": "406-683-4816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSEN",
"first_name": "SCOTT",
"middle_name": "CORDELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.