DR. CHARLES KINGMAN OLSON (NPI# 1770689648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770689648 |
| Entity Type | Individual |
| Full Name | DR. CHARLES KINGMAN OLSON |
| Credential | DMD |
| Practice Address |
4053 Taylor Rd Suite M Chesapeake VA 23321-5526 |
| Practice Telephone | 7574849441 |
| Practice Fax Number | 7574848821 |
| Mailing Telephone | 7574849441 |
| Mailing Fax Number | 7574848821 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401006351 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 25122 | 01 |
| VA | SENTARA | 25122 | 01 |
| VA | ANTHEM BCBS | 260228 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255481719 | Charles A Olson | Counselor | 10501 Georgia Ave., Suite 407, Wheaton, MD 20902 | 2007-01-10 |
| 1700940434 | Charles Edwin Olson | Military Health Care Provider | One Boone Rd, Bremerton, WA 98312 | 2006-12-20 |
| 1134160740 | Charles Olson Jr. | Emergency Medicine | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-06-08 |
| 1699736553 | Charles E Olson | Internal Medicine | 1120 N 103rd Plz, Suite 100, Omaha, NE 68114-1114 | 2006-03-30 |
| 1407847015 | Charles M. Olson | Radiology | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-11-02 |
| Street Address |
4053 TAYLOR RD SUITE M |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847652 | Vandana Apruva Patel | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2005-08-09 |
| 1316415573 | Kristine Ann Duncan | Nurse Practitioner | 4053 Taylor Rd, Chesapeake, VA 23321-5537 | 2018-11-06 |
| 1689117947 | Andrea Dunn | Physician Assistant | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2016-11-18 |
| 1124572417 | Isle of Wight Family & Cosmetic Dentistry PC | Clinic/Center | 4053 Taylor Rd, Suite J, Chesapeake, VA 23321-5537 | 2016-08-04 |
| 1679925606 | Tyler Blankenship | Physician Assistant | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2016-07-01 |
| 1134579998 | Dellyn Matthew | Nurse Practitioner | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2016-06-13 |
| 1699061812 | January-jill Ogoy | Physician Assistant | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2011-06-27 |
| 1982862991 | Ear Nose Throat Specilist Portsmouth Inc | Otolaryngology | 4053 Taylor Rd, Suite M, Chesapeake, VA 23321-5537 | 2008-05-27 |
| 1437255510 | Portsmouth Pulmonary Associates, Ltd | Internal Medicine | 4053 Taylor Rd, Suite N, Chesapeake, VA 23321-5537 | 2006-09-15 |
| 1366553364 | First Care PC | Family Medicine | 4053 Taylor Rd, Suite K, Chesapeake, VA 23321-5537 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720160237 | Martha Sheldon Scotty | Dentist | 4912 Barn Swallow Dr, Chesapeake, VA 23321-1281 | 2006-10-20 |
| 1245323419 | Timothy M French | Dentist | 625 Erin Ln, Chesapeake, VA 23323-6822 | 2006-10-02 |
| 1063483733 | Zhengshi Song | Dentist | 521 Cassway Arch, Chesapeake, VA 23323-3820 | 2006-01-30 |
| 1477768489 | Dr.'s Fritz & Olson, P.C. | Dentist | 4037 Taylor Rd, Suite B, Chesapeake, VA 23321-5535 | 2007-05-12 |
| 1316925696 | Michael G Ireland | Dentist | 1230 Progressive Dr, Suite 102, Chesapeake, VA 23320-0203 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1295348720 | Virginia Plastic Surgery Institute | Dentist | 1016 N Highland St Ste 131b, Arlington, VA 22201-2112 | 2020-08-25 |
| 1487271334 | Moonlight Oral Surgery Pllc | Dentist | 1210 S Glebe Rd Unit 40580, Arlington, VA 22204-0282 | 2020-06-26 |
| 1942826524 | Mira Dental At Tysons Corner Pllc | Dentist | 8201 Greensboro Dr Ste 710, Mc Lean, VA 22102-3818 | 2020-06-19 |
| 1285296814 | South Riding Oral and Implant Surgery | Dentist | 24805 Pinebrook Rd # 318, Chantilly, VA 20152-4126 | 2019-07-03 |
| 1053971861 | Jennifer Rose Van Hook | Dentist | Vcuhs Dept of Omfs Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2019-06-14 |
| 1174093835 | Patriot Oral and Facial Surgery Pllc | Dentist | 121 Bulifants Blvd Ste B, Williamsburg, VA 23188-5736 | 2018-11-26 |
| 1881163699 | Loudoun Center for Oral Surgery, Pllc | Dentist | 46161 Westlake Dr Ste 200, Sterling, VA 20165-5871 | 2018-11-21 |
| 1235628991 | Michael Jonathan Theiss | Dentist | 1250 E Marshall St # 980566, Richmond, VA 23298-5051 | 2018-05-08 |
| 1871957043 | Goodwin Oral & Facial Surgery Pllc | Dentist | 3200 Peoples Dr, Ste 210, Harrisonburg, VA 22801-7631 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
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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.