Mary K Karkow, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

455015 Issued in WI

Practice address

N14W23833 Stone Ridge Dr
Suite 240
Waukesha, WI 53188-1157

Phone

(262) 232-8777

NPI assigned

Aug 31, 2006

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 WI

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

Specialty

Oral Surgery

Education

Marquette University School of Dentistry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• TMJ Pain Solutions, SC

  • Oral and Maxillofacial Pathology Dentistry
  • Waukesha, WI
  • NPI 1578957411
  Medicare reassignment NPD Authorized official
• LMG, Inc

  dba TMJ & Orofacial Pain Treatment Centers of WI

  • Oral and Maxillofacial Pathology Dentistry
  • Wauwatosa, WI
  • NPI 1134235427
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Froedtert Memorial Lutheran Hospital, Inc.

  dba CDI-Froedtert Memorial Lutheran Hospital

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1255334173
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1003927625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N14W23833 STONE RIDGE DR",
            "address_2": "SUITE 240",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881157",
            "telephone_number": "262-232-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N14W23833 STONE RIDGE DR",
            "address_2": "SUITE 240",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881157",
            "telephone_number": "262-232-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARKOW",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WI",
            "license": "455015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra V Kapellusch, MS OTR/L
• Jonathan Kapke, DO
• Jordan Alexander Kapke, MD
• Rosanne Marie Kapp, RN
• Sara Karaffa
• Berkley Ann Karow
• Faith Kasbohm
• Heather Kasmarek, RDH
• Edward G Kass, MD
• Gregory Allen Kass, M.D.

• Oral and Maxillofacial Pathology Dentistry in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Oral and Maxillofacial Pathology Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.