Orourke and Wonderly Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OROURKE AND WONDERLY DENTAL

Practice address

4250 Kalamazoo Ave SE
Grand Rapids, MI 49508-2699

Phone

(616) 455-7930

Fax

(616) 455-9952

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lora Wonderly, DDS

Title

Dentist

Phone

(616) 455-7930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Karen Ann O'Rourke, DDS

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1952306128
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1073153979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082699",
            "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 AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082699",
            "telephone_number": "616-455-7930",
            "fax_number": "616-455-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROURKE AND WONDERLY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "WONDERLY",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "DENTIST",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Orloski, DO
• Margaret Orloski, CTRS
• Walter Scott Ormes, DDS
• Gabriela Ornelas
• Lucas Joseph Orosco, PHARMD
• Deanna Orr
• Renee Orr, LMSW
• Mario J Orsini, D.O.
• Desree Ann Ortega-Furgeson, REGISTERED DIETITIAN
• Ariana Ortega

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.