Oda, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ODA, LLC

Practice address

2728 Westmoor CT SW Ste C
Olympia, WA 98502-5779

Phone

(360) 492-8444

Fax

(360) 491-8444

NPI assigned

Apr 5, 2010

Last updated

Apr 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Dale Johnston

Title

President

Phone

(206) 979-2660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1861717654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 WESTMOOR CT SW STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025779",
            "telephone_number": "360-492-8444",
            "fax_number": "360-491-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 WESTMOOR CT SW STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025779",
            "telephone_number": "360-492-8444",
            "fax_number": "360-491-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-979-2660"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fennec Clyde Oak
• Kwame Obeng, PA-C
• Haley Oberg
• Patricia Estelle Kelso Ocean, MSOT, OTR/L, LMT,
• Suzanne Ocken
• Jay Michael Odell, MD
• Dawn D Odinma, MA. 61107914
• Harold Odom Jr., CPC
• Giovana Ody
• Noeru Okamura, D.O

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.