Individual provider Active NPI

Carol M Murdock, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1902891211
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5292 Issued in NE
Practice address
2500 California PLZ
School of Dentistry - Suite 208
Omaha, NE 68178-0001
Phone
(402) 280-3045
Fax
(402) 280-5094
NPI assigned
Sep 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5292 NE Primary

Addresses

Primary practice location

2500 California PLZ
School of Dentistry - Suite 208
Omaha, NE 68178-0001

Mailing address

2500 California PLZ
School of Dentistry - Suite 208
Omaha, NE 68178-0001
Phone (402) 280-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160912001765 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709172117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902891211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "address_2": "SCHOOL OF DENTISTRY - SUITE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780001",
            "telephone_number": "402-280-3045",
            "fax_number": "402-280-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "address_2": "SCHOOL OF DENTISTRY - SUITE 208",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780001",
            "telephone_number": "402-280-3045",
            "fax_number": "402-280-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "CAROL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.