Robert James Olson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6586 Issued in NE

Practice address

1131 S 119TH St
Omaha, NE 68144-1601

Phone

(402) 333-0186

Fax

(402) 333-9842

NPI assigned

May 16, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dundee Family Dental

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1023068673
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1932151503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S 119TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441601",
            "telephone_number": "402-333-0186",
            "fax_number": "402-333-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S 119TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681441601",
            "telephone_number": "402-333-0186",
            "fax_number": "402-333-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025308900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karah Lynn Olson, PLADC
• Kristina Olson, LMT
• Matthew Alan Olson, PHARMD.
• Nathan Olson
• Nicole Olson, RN, BSN
• Stephanie Olson
• Stephanie J Olson
• Tiffany A Olson, CRNA
• Trae Kennedy Olson, MD
• Veronica Olson, PMLHP

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.