Individual provider Active NPI

Terry David Olejko, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Westerville, OH
National Provider Identifier
1942376199
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30015199 Issued in OH
Practice address
615 Copeland Mill Rd Ste 2a
Westerville, OH 43081-8904
Phone
(614) 395-1975
Fax
(614) 785-1925
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30015199 OH Primary

Addresses

Primary practice location

615 Copeland Mill Rd Ste 2a
Westerville, OH 43081-8904

Mailing address

615 Copeland Mill Rd
Suite 2a
Westerville, OH 43081-8904
Phone (614) 895-8400

Other identifiers 1

IdentifierTypeStateIssuer
0570645MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000375 OH Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4284668344 Practice locations: Westerville, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30015199OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Terry D. Olejko, D.D.S., M.S. Oral and Maxillofacial Surgery PastSince Apr 1, 1985 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1942376199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 COPELAND MILL RD",
            "address_2": "SUITE 2A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818904",
            "telephone_number": "614-895-8400",
            "fax_number": "614-895-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 COPELAND MILL RD STE 2A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818904",
            "telephone_number": "614-395-1975",
            "fax_number": "614-785-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEJKO",
        "first_name": "TERRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30015199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0570645",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.