Mark Elliot Olson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1530 Issued in ND

Practice address

202 E 3Rd Ave S
Cavalier, ND 58220-0635

Phone

(701) 265-8777

Fax

(701) 265-8777

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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.

• Allred Dental PC

  • Dental Clinic/Center
  • Cavalier, ND
  • NPI 1912616590
  NPD (past)
• Stevens Dental Group

  • General Practice Dentistry
  • Cavalier, ND
  • NPI 1447536578

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962622753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E 3RD AVE S",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582200635",
            "telephone_number": "701-265-8777",
            "fax_number": "701-265-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 3RD AVE S",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582200635",
            "telephone_number": "701-265-8777",
            "fax_number": "701-265-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARK",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Longtin, LPCC
• Terri A Machart, LSW
• Kinsey Oakland Maertens, PHARMD
• Yanelli Martinez
• Jenna Marie Mertz
• Judy A Pegg, PA-C
• Pembina County
• Pembina County Memorial Hospital Association
• Pembina County Memorial Hospital Association
• Pembina County Memorial Hospital Association

• All providers in Cavalier, ND
• General Practice Dentistry in North Dakota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.