Wayne D Olson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11387 Issued in IL

Practice address

1008 Country Club Rd
St Charles, MO 63303

Phone

(636) 946-9949

Fax

(636) 946-3915

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891888061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 COUNTRY CLUB RD",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-723-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 COUNTRY CLUB RD",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-946-9949",
            "fax_number": "636-946-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "WAYNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "11387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of Kansas PA (Concentra Medical Center)
• Occupational Health Centers of Kansas PA (Concentra Medical Center)
• Kellie M Odonnell-Stockton, N.P.
• Nichole Oliver, LPC
• Mary K Olson
• Babatunde A Olumide, MD
• On the Corner Home Care, Inc. (Assistance Home Care)
• One Alpha Inc (1 Alpha In-Home Health Care)
• Jessica Oneil
• Megan Florine Oneill

• General Practice Dentistry in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• General Practice Dentistry in Missouri

• 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.