DR. SAMUEL IVAN OLSON (NPI# 1124683818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124683818 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL IVAN OLSON |
| Credential | DDS |
| Practice Address |
11550 Sheridan Blvd Ste 101 Westminster CO 80020-3312 |
| Mailing Address |
22249 Highway 52 Hudson CO 80642-9207 |
| Practice Telephone | 7204643901 |
| Mailing Telephone | 3038862969 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN.00204029 | CO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1821559642 | Samuel Blake Olson | Nurse Practitioner | 385 Liberty Rd Sw, Calhoun, GA 30701-3272 | 2019-03-26 |
| 1366974008 | Samuel Jordan Olson | Psychiatry & Neurology | 4301 W Markham St # 589, Little Rock, AR 72205-7101 | 2017-03-31 |
| 1508114836 | Samuel A Olson | Pharmacist | 1991 S Bridge St, Yorkville, IL 60560-9851 | 2012-08-16 |
| 1881822203 | Samuel R Olson | Physical Therapist | 1185 Town Centre Dr Ste 100, Eagan, MN 55123-1188 | 2009-06-24 |
| Street Address |
11550 SHERIDAN BLVD STE 101 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80020-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679964357 | Nicholas Robert Bussa | Dentist | 11550 Sheridan Blvd Ste 101, Westminster, CO 80020-3312 | 2015-02-17 |
| 1619586294 | Olson Family Dental Pllc | Clinic/Center | 11550 Sheridan Blvd Ste 101, Westminster, CO 80020-3312 | 2020-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245850114 | 92nd & Wads Comfort Partners | Dentist | 7743 W. 92nd Avenue, Westminster, CO 80030 | 2020-04-21 |
| 1457985004 | Jillian Dubuisson | Dentist | 9726 Ames St, Westminster, CO 80020-5706 | 2020-02-22 |
| 1952941650 | My Local Colorado Dental Practice, LLC | Dentist | 12031 Tejon St Ste 100, Westminster, CO 80234-2306 | 2020-01-10 |
| 1972154607 | Composite Whisperer, Pllc | Dentist | 905 W 124th Ave Ste 120, Westminster, CO 80234-1718 | 2019-09-24 |
| 1467925990 | Alexandre Maymone | Dentist | 10071 Wadsworth Pkwy Ste 100, Westminster, CO 80021-3851 | 2019-01-08 |
| 1669957213 | Bmt Smiles Pllc | Dentist | 14215 Orchard Pkwy Ste 100, Westminster, CO 80023-9200 | 2018-09-30 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1104270883 | Mountain View Family Dental Westminster Pllc | Dentist | 14697 Delaware St # 260b, Westminster, CO 80023-9178 | 2016-04-19 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1245610351 | Betty Yip | Dentist | 14422 Orchard Pkwy Ste 100, Westminster, CO 80023-9273 | 2015-06-03 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on DR. SAMUEL IVAN OLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.