Organization Active NPI

Karen a O Rourke DDS PC

  • Dentist
  • Grand Rapids, MI
National Provider Identifier
1013099092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014123 Issued in MI
Legal business name
KAREN A O ROURKE DDS PC
Practice address
4250 Kalamazoo SE Ste 1
Grand Rapids, MI 49508-3607
Phone
(616) 455-7930
Fax
(616) 455-9952
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen A O Rourke, DDSNPI 1952306128
Title
Dentist President
Phone
(616) 455-7930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901014123 MI Primary

Addresses

Primary practice location

4250 Kalamazoo SE Ste 1
Grand Rapids, MI 49508-3607

Mailing address

4250 Kalamazoo SE Ste 1
Grand Rapids, MI 49508-3607
Phone (616) 455-7930

Other names 1

  • Karen A O Rourke DDS Doing business as

National Provider Directory

National Provider Directory

Locations

4250 Kalamazoo Ave SE
Ste 1
Grand Rapids, MI 49508
Phone (616) 455-7930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013099092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 KALAMAZOO SE STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083607",
            "telephone_number": "616-455-7930",
            "fax_number": "616-455-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 KALAMAZOO SE STE 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083607",
            "telephone_number": "616-455-7930",
            "fax_number": "616-455-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN A O ROURKE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O ROURKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "616-455-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen A O Rourke DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.