Active NPI
Oly Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Olympia, WA
National Provider Identifier
1952260499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- OLY ORTHODONTICS
- Practice address
- 3620 Ensign Rd NE Ste a
Olympia, WA 98506-6957 - Phone
- (360) 491-9594
- Fax
- (360) 491-9410
- NPI assigned
- Jan 20, 2026
- Last updated
- Jan 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dong Uk Shin, DDS, MSD
- Title
- Orthodontist
- Phone
- (360) 491-9594
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
3620 Ensign Rd NE Ste a
Olympia, WA 98506-6957
Mailing address
3620 Ensign Rd NE Ste a
Olympia, WA 98506-6957
Phone (360) 491-9594
National Provider Directory
National Provider DirectoryLocations
3620 Ensign Rd NE
Ste A
Olympia, WA 98506
Phone (360) 491-9594
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Puyallup, WA
- NPI 1669095063
-
- Dentist
- Olympia, WA
- NPI 1316090160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1952260499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 ENSIGN RD NE STE A",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066957",
"telephone_number": "360-491-9594",
"fax_number": "360-491-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 ENSIGN RD NE STE A",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066957",
"telephone_number": "360-491-9594",
"fax_number": "360-491-9410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLY ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-20",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "DONG",
"authorized_official_middle_name": "UK",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "360-491-9594",
"authorized_official_credential": "DDS, MSD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- Rachelle Olson
- Paul J. Olsovsky, O.D.
- Rachel Lynn Olsson, LMP
- Leigh Anne Olszewski, M.S.
- Oly Family Chiropractic, Inc. (Oly Family Chiropractic)
- Olympia Anesthesia Associates, PC
- Olympia Arthritis & Rehabilitation Clinic Inc PS
- Olympia Cardiac Surgery, Inc., P.S.
- Olympia Center for DBT, LLC
- Olympia Chiropractic Center PS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.