Alexia Murray Oetken, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09047 Issued in IA

Practice address

4200 Asbury Rd
Dubuque, IA 52002-2892

Phone

(563) 556-2711

Fax

(563) 556-8017

NPI assigned

Jul 9, 2013

Last updated

Sep 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ted Murray

  • Dental Clinic/Center
  • Dubuque, IA
  • NPI 1093972994
  NPD (past)

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1902247760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022892",
            "telephone_number": "563-556-2711",
            "fax_number": "563-556-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022892",
            "telephone_number": "563-556-2711",
            "fax_number": "563-556-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKEN",
        "first_name": "ALEXIA",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond E O'Neill, M.D.
• Bruce Alan Obbink, M.D.
• Chloe L Oberman
• Mary Margaret Oconnell, M.D.
• Jerry David Odefey, M.S.
• Diane Marie Oglesby, ARNP
• Jill Oglesby
• Anna Olberding
• Julie A Olberding, A.R.N.P.
• Debra Oldaker-Tedrow, FAMILY NURSE PRACTIT

• Dentist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.