Thomas Ward Olson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06884 Issued in IA

Practice address

1912 Middle Rd
Bettendorf, IA 52722-3206

Phone

(563) 355-5513

Fax

(563) 355-6024

NPI assigned

Apr 3, 2007

Last updated

Jul 9, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912028218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223206",
            "telephone_number": "563-355-5513",
            "fax_number": "563-355-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223206",
            "telephone_number": "563-355-5513",
            "fax_number": "563-355-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "THOMAS",
        "middle_name": "WARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207829",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "20782",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest P.a. (dba, Concentra Medical Centers, PC)
• Jaroslava Odvarko, DC
• Kyongsock Oh, DC
• Holly Olson, ARNP
• Nicole Linette Olson, ARNP
• Lubna Omar, MS, CCC-SLP
• Opco Bettendorf, Ia, LLC (Bettendorf Health Care Center)
• Ora Orthopedics PC
• Christa Orfitelli, LISW, OTR/L
• Oriental Chiropractic LLC

• General Practice Dentistry in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.