Taylor M Olsen, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

57300 Issued in CA

Practice address

31920 Del Obispo St Ste 265
San Juan Capistrano, CA 92675-3191

Phone

(949) 542-7799

Fax

(949) 542-7798

NPI assigned

Oct 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1841443009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31920 DEL OBISPO ST STE 265",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753191",
            "telephone_number": "949-542-7799",
            "fax_number": "949-542-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31920 DEL OBISPO ST STE 265",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753191",
            "telephone_number": "949-542-7799",
            "fax_number": "949-542-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-30",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optimum Care Pharmacy Inc.
• Orange County Educational Psychologists
• Orthocare Health, PC

• Orthodontics and Dentofacial Orthopedics Dentistry in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.