JOHN BRADLEY OLSON (NPI# 1033223805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033223805 |
| Entity Type | Individual |
| Full Name | JOHN BRADLEY OLSON |
| Credential | DDS |
| Practice Address |
217 S Third St Dekalb IL 60115-3778 |
| Practice Telephone | 8157582800 |
| Practice Fax Number | 8157872801 |
| Mailing Telephone | 8157582800 |
| Mailing Fax Number | 8157872801 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709161 | John Nicholas Olson | Social Worker | 6800 Franklin Ne, Rio Rancho, NM 87144-7647 | 2018-11-20 |
| 1326340225 | John Denton Olson | Physician Assistant | 31675 Calle Barcaldo, Temecula, CA 92592-3611 | 2010-11-28 |
| 1952525669 | John Charles Olson | Dentist | 16152 Beach Blvd Ste 160-e, Huntington Beach, CA 92647-3806 | 2007-04-12 |
| 1700957495 | John W Olson | Chiropractor | 2263 Acushnet Ave, New Bedford, MA 02745-2827 | 2006-11-13 |
| 1013024041 | John Charles Olson | Psychiatry & Neurology | 910 18th Ave East, Seattle, WA 98112-3930 | 2006-08-24 |
| 1174551709 | John C. Olson | Ophthalmology | 3824 Oakwater Cir, Orlando, FL 32806-6263 | 2006-06-30 |
| 1164991501 | John Andrew Olson | Physical Therapist | 1601 Butterfield Trl, Kankakee, IL 60901-2959 | 2018-11-15 |
| 1922517127 | John Mason Olson | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2017-09-20 |
| 1902248099 | John Charles Olson | Optometrist | 1400 10th Ave W, Mobridge, SD 57601-1246 | 2013-07-18 |
| 1912141607 | John Olson | Social Worker | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2009-04-24 |
| Street Address |
217 S THIRD ST |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-3778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043767031 | Aarthi Raghavan | Dentist | 2061 Sycamore Road, Dekalb, IL 60115 | 2016-09-07 |
| 1801249602 | Zheng Ma | Dentist | 2235 Sycamore Rd, Dekalb, IL 60115-2046 | 2016-07-15 |
| 1376938100 | Dental Fields | Dentist | 2235 Sycamore Road, Dekalb, IL 60115 | 2015-03-30 |
| 1912031097 | Julie Galloway | Dentist | 2707 Sycamore Rd, Dekalb, IL 60115-9201 | 2007-03-14 |
| 1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
| 1841396538 | Timothy James Duez | Dentist | 1410 Sycamore Rd, Dekalb, IL 60115-2030 | 2006-09-16 |
| 1407415995 | Eric Michael Hagen | Dentist | 2563 Sycamore Rd, Dekalb, IL 60115-2051 | 2019-06-10 |
| 1902382682 | Nikhil Patel | Dentist | 2235 Sycamore Rd, Dekalb, IL 60115-2046 | 2018-07-16 |
| 1316432420 | Yang Zhou | Dentist | 2235 Sycamore Rd, Dekalb, IL 60115-2046 | 2018-06-30 |
| 1942722012 | Elizabeth Ninan | Dentist | 2235 Sycamore Rd, Dekalb, IL 60115-2046 | 2017-07-11 |
| Find all providers in DEKALB | ||||
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| 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.