Active NPI
Dennis H Olson, M.D.
- Specialist
- Thornton, CO
National Provider Identifier
1841397254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16794
- Practice address
- 9141 Grant St Ste B40
Thornton, CO 80229-4367 - Phone
- (303) 452-7700
- NPI assigned
- Sep 20, 2006
- Last updated
- Dec 28, 2021
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 16794 | CO | Primary |
Addresses
Primary practice location
9141 Grant St Ste B40
Thornton, CO 80229-4367
Mailing address
1103 Woodland Lane
Evergreen, CO 80439-9732
Phone (303) 439-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-167949 | Medicaid | CO | |
| 1C4338 | Other | CO | MEDICARE |
| 632901 | Other | CO | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16794 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1841397254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 WOODLAND LANE",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804399732",
"telephone_number": "303-439-7400",
"fax_number": "303-465-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9141 GRANT ST STE B40",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294367",
"telephone_number": "303-452-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DENNIS",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "16794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01-167949",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1C4338",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "632901",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
- Jonathan L Olivier, DDS
- Courtney Olmscheid
- Sydney Olmsted
- Nancy Lee Olsen, LPC
- Nicholas Olsen, D.O.
- Liana Olvera
- One Hour Optical Medical Services, PC
- One Hour Optical Medical Services, PC (Eyecare Specialties of Colorado)
- One Hour Optical Medical Services, PC (Eyecare Specialties of Colorado)
- Open Book Billing Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.