Martin H Oleson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M-517 Issued in SD

Practice address

210 S Third Ave
Clear Lake, SD 57226-0559

Phone

(605) 874-2230

Fax

(605) 874-2675

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin H Oleson DDS PC

  • General Practice Dentistry
  • Clear Lake, SD
  • NPI 1427124973
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851505804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S THIRD AVE",
            "address_2": "PO BOX 559",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572260559",
            "telephone_number": "605-874-2230",
            "fax_number": "605-874-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S THIRD AVE",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572260559",
            "telephone_number": "605-874-2230",
            "fax_number": "605-874-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESON",
        "first_name": "MARTIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M-517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jo Kasten, PA
• Rachel Nicole King, PA-C
• Sarah Lepke, FNP
• Martin H Oleson DDS PC
• Solomon Spears Nair, DMD
• Robert Payne, M.D.
• Megan Elizabeth Pederson
• Julie K Rasmussen, PAC
• Sanford Health Network (Sanford Clinic Deuel County)
• Sanford Health Network (Sanford Clear Lake Medical Center)

• General Practice Dentistry in Clear Lake, SD
• Providers in Clear Lake, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.