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Active NPI 1043552029 Individual Practitioner Female Practitioner

Dr. Alexandra Barton Otto , DDS

Dentist - Pediatric Dentistry • Buda, TX

Professional Overview & Biography Verified Profile Summary

Dr. Alexandra Otto, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Buda, TX. Practice services are available at 1245 MAIN STREET, BLDG B-2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1245 Main Street, Bldg B-2
Suite 300

Buda, TX 78610

Telephone 3039448045

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Buda, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Buda, TX (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-23
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 31521

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License CO 202183

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3507097 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location June 23, 2020

Registered at 1245 MAIN STREET, BLDG B-2, SUITE 300, BUDA, TX 78610 (Tel: 3039448045)

📍
Updated Business Mailing Address June 23, 2020

Registered at 1245 MAIN STREET, BLDG B-2, SUITE 300, BUDA, TX 78610 (Tel: 3039448045)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2020

Dentist (License #202183 in CO)

📍
Updated Practice Location June 18, 2018

Registered at 4341 TUDOR CENTRE DR STE 100, ANCHORAGE, AK 99508 (Tel: 9077292000)

📍
Updated Business Mailing Address June 18, 2018

Registered at PO BOX 770193, EAGLE RIVER, AK 995770193 (Tel: 2392930387)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Dentist (License #31521 in TX)

✅
NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2017

Registered at 2000 HIGHWAY 157 N, STE 120, MANSFIELD, TX 760637607 (Tel: 8174668554)

📍
Updated Business Mailing Address January 24, 2017

Registered at 7316 WOODED ACRES TRL, MANSFIELD, TX 760634939 (Tel: 2392930387)

👤
Provider Name / Credentials Updated January 24, 2017

Recorded as ALEXANDRA OTTO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Dentist (License #202183 in CO)

✅
NPI Profile Active October 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2015

Registered at 809 SW ALSBURY BLVD, SUITE 100, BURLESON, TX 760289200 (Tel: 8172951144)

📍
Updated Business Mailing Address October 20, 2015

Registered at 1420 S WASHINGTON ST, DENVER, CO 802102243 (Tel: 2392930387)

👤
Provider Name / Credentials Updated October 20, 2015

Recorded as BLANCHE BARTON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2015

Dentist (License #31521 in TX)

🟢
Initial NPI Registration & Enumeration March 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043552029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2013
Last Update: June 23, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1245 Main Street, Bldg B-2, Suite 300

Buda, TX 78610

Phone: 3039448045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.