Vanessa Kristine Strom Olson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D8809 Issued in OR

Practice address

5135 Skyline Rd S
Skyline Dental Office
Salem, OR 97306-9427

Phone

(612) 251-9958

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Vanessa Kristine Strom Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Practice roles

Locations

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.

• Lake Superior Dental Associates

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1871672584
  Medicare reassignment NPD
• Sla Dental PLLC

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1669894705
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942304407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8971 71ST ST NE",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562888634",
            "telephone_number": "612-251-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 SKYLINE RD S",
            "address_2": "SKYLINE DENTAL OFFICE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069427",
            "telephone_number": "612-251-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "VANESSA",
        "middle_name": "KRISTINE STROM",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "STROM",
            "middle_name": "KRISTINE",
            "prefix": "MISS",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Elaine Olson, LMS
• Jaime Ann Olson
• Mark Warren Olson, M.D.
• Sonya R Olson, CHW
• Tieryn M Olson, QMHP, LCSW
• Nels Enst Gerhard Olsson, BA, CADC-R, PSS
• Sarah B Oltman, PA-C
• Abayomi Moses Olusanu
• Olympic Place Retirement & Assisted Living Community LLC
• Lawrence Osereme Omonua, MENTAL HEALTH

• Dentist in Salem, OR
• Providers in Salem, OR by specialty
• Dentist in Oregon

• 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.
• 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.