Individual provider

Justin Olsen, DDS

Oral and Maxillofacial Surgery (Dentist) Dentist Medicare enrolled

Justin Olsen, DDS is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in San Antonio, TX, registered under NPI 1144570367. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 15600 SAN PEDRO AVE STE 107, San Antonio, TX 78232. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15600 SAN PEDRO AVE STE 107, San Antonio, TX 78232 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
33515 TX Oral and Maxillofacial Surgery (Dentist) primary
0401413760 VA Dentist

Licences are recorded in 2 states: TX, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Maxillofacial Surgery
PAC ID
1153554340
Enrollment ID
I20140423000959

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Maxillofacial Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Texas and Virginia. The practice address on file is in San Antonio, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

TX Texas practice address
Licence
33515
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the TX board →
VA Virginia
Licence
0401413760
Specialty
Dentist
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Oral and Maxillofacial Surgery covers

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. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery 33515 TX primary
122300000X Dentist 0401413760 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1144570367 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 14, 2012
Last updatedJul 30, 2025
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 15600 SAN PEDRO AVE STE 107
San Antonio, TX 78232
(435) 512-3442
This record was updated on Jul 30, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1144570367 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 4 4 5 7 0 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 8 4 1 7 0 3 3

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1144570367?
NPI 1144570367 is the National Provider Identifier assigned to Justin Olsen, DDS in San Antonio, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
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.
How do I contact Justin Olsen, DDS?
The phone number on file with NPPES is (435) 512-3442, last updated Jul 30, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Justin Olsen, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1144570367 a valid number?
Yes. 1144570367 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.