Active NPI
Andrew Erik Olsson, DDS
- Dentist
- Hood River, OR
National Provider Identifier
1952419913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D8794
- Practice address
- 849 Pacific Ave
Hood River, OR 97031-1956 - Phone
- (541) 386-6380
- Fax
- (541) 386-1078
- NPI assigned
- Aug 29, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D8794 | OR | Primary |
Addresses
Primary practice location
849 Pacific Ave
Hood River, OR 97031-1956
Mailing address
849 Pacific Ave
Hood River, OR 97031-1956
Phone (541) 386-6380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150710002423 | OR | Order and Referring Only - Dentist | 1557673084 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8794 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952419913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 PACIFIC AVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311956",
"telephone_number": "541-386-6380",
"fax_number": "541-386-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 PACIFIC AVE",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311956",
"telephone_number": "541-386-6380",
"fax_number": "541-386-1078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSSON",
"first_name": "ANDREW",
"middle_name": "ERIK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.