David D. Olson, DDS, Ms, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DAVID D. OLSON, DDS, MS, PA

Practice address

10931 Raven Ridge Rd
Suite 105
Raleigh, NC 27614-6499

Phone

(919) 845-8212

Fax

(919) 845-8201

NPI assigned

Dec 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David D Olson, DDSNPI 1255306999

Title

Owner

Phone

(919) 845-8212

Specialties & licenses 1

Addresses

Other names 1

• Raleigh Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David D Olson, DDS, MS

  • Pediatric Dentistry
  • Raleigh, NC
  • NPI 1255306999
  NPD Authorized official

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1851620702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-845-8212",
            "fax_number": "919-845-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 RAVEN RIDGE RD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146499",
            "telephone_number": "919-845-8212",
            "fax_number": "919-845-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. OLSON, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-845-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Michelle Davenport, PT
• Tashawna Davenport, LCSWA
• Davestel Healthcare Services LLC
• James Edward Davey, RPH
• David C. Slawisnki DDS, PA
• David F Colvard, MD, PA
• David G. Polhemus DDS, PLLC
• David M Fajgenbaum MD PA
• David Turner Jones MD PA
• Cameron David

• Pediatric Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.