Active NPI
Abbie J Otto, D.D.S.
- Dentist
- Holstein, IA
National Provider Identifier
1245646801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS-09098
- Practice address
- 128 S Main St
Holstein, IA 51025-5018 - Phone
- (712) 368-4351
- NPI assigned
- Jul 3, 2014
- Last updated
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-09098 | IA | Primary |
Addresses
Primary practice location
128 S Main St
Holstein, IA 51025-5018
Mailing address
128 S Main St
Holstein, IA 51025-5018
Phone (712) 368-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-09098 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbie J Otto DDS PC | Past | Accepting new patients | |
| Myron L Murphy DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Holstein, IA
- NPI 1972670404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1245646801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 S MAIN ST",
"city": "HOLSTEIN",
"state": "IA",
"postal_code": "510255018",
"telephone_number": "712-368-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S MAIN ST",
"city": "HOLSTEIN",
"state": "IA",
"postal_code": "510255018",
"telephone_number": "712-368-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "ABBIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-09098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holstein, IA
- Ida County Iowa Community Hospital (Horn Physicians Clinic Holstein)
- Anya Kistenmacher
- Letsche Apothecary (Main Street Pharmacy)
- Myron Leonard Murphy, DDS
- Myron L Murphy DDS PC
- Alan Rush, D.C.
- Sioux Valley Memorial Hospital Association (Cherokee Regional Clinic - Holstein)
- Edward Taylor
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society Home Health Care)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Holstein)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.