Active NPI
Olga L Thurman, D.D.S.
- General Practice Dentistry
- Third Lake, IL
National Provider Identifier
1871648972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027065
- Practice address
- 34484 N US Highway 45 Ste C
Third Lake, IL 60030-4038 - Phone
- (224) 541-4066
- Fax
- (847) 752-8425
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019027065 | IL | Primary |
Addresses
Primary practice location
34484 N US Highway 45 Ste C
Third Lake, IL 60030-4038
Mailing address
34484 N US Highway 45 Ste C
Third Lake, IL 60030-4038
Phone (224) 541-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1871648972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34484 N US HIGHWAY 45 STE C",
"city": "THIRD LAKE",
"state": "IL",
"postal_code": "600304038",
"telephone_number": "224-541-4066",
"fax_number": "847-752-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34484 N US HIGHWAY 45 STE C",
"city": "THIRD LAKE",
"state": "IL",
"postal_code": "600304038",
"telephone_number": "224-541-4066",
"fax_number": "847-752-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "OLGA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Third Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.