Individual provider Active NPI

Alexandra Renee Dann, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Merrillville, IN
National Provider Identifier
1508361700
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12013181A Issued in IN
Practice address
61 W 86TH Ave
Merrillville, IN 46410-7098
Phone
(219) 736-1401
NPI assigned
Mar 28, 2018
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12013181A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

61 W 86TH Ave
Merrillville, IN 46410-7098

Mailing address

61 W 86TH Ave
Merrillville, IN 46410-7098
Phone (219) 736-1401

Other practice location 1

911 Wall St Ste C
Valparaiso, IN 46383-2553
Phone (219) 736-1401

Other practice location 2

8807 W 400 N
Michigan City, IN 46360-9371
Phone (219) 736-1401

Other names 1

  • Alexandra Okula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204001262 IN Practitioner - Oral Surgery 3971836685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Indiana University School of Dentistry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Oms, LLCGroup PAC ID 7315316015, 4 clinicians

Practice addresses (Care Compare)

8807 W 400
Michigan City, IN 46360-9371
Phone (219) 736-1401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013181AINMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Oms, LLC Oral and Maxillofacial Surgery CurrentSince Jan 1, 2026 Accepting new patients
Stevenson, Fairchild & Surber Oms, P.C. Oral and Maxillofacial Surgery CurrentSince Mar 3, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

61 W 86th Ave
Merrillville, IN 46410
Phone (219) 736-1401

8807 W 400 N
Michigan City, IN 46360
Phone (219) 736-1401

911 Wall St
Ste C
Valparaiso, IN 46383
Phone (219) 462-9599

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1508361700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 W 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107098",
            "telephone_number": "219-736-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 W 86TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107098",
            "telephone_number": "219-736-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Wall St Ste C",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832553",
            "country_code": "US",
            "telephone_number": "219-736-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8807 W 400 N",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609371",
            "country_code": "US",
            "telephone_number": "219-736-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANN",
        "first_name": "ALEXANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12013181A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "OKULA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.