Katrina Louise Orourke, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019028449 Issued in IL

Practice address

111 N Wabash Ave Ste 1107
Chicago, IL 60602-3123

Phone

(312) 609-1300

Fax

(312) 609-1308

NPI assigned

Jul 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Katrina Louise Baeverstad Professional name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Katrina Baeverstad DDS LLC

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1043965866
  NPD
• Meadows Dental Group

  • General Practice Dentistry
  • Palatine, IL
  • NPI 1215990007
  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1194954487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023123",
            "telephone_number": "312-609-1300",
            "fax_number": "312-609-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023123",
            "telephone_number": "312-609-1300",
            "fax_number": "312-609-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROURKE",
        "first_name": "KATRINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "BAEVERSTAD",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jordan Orofino, PHARMD
• Innocent Chijioke Orokoh
• Osaretin Oronsaye, M.D.
• Mario Oropesa
• Cesar Jose Oropeza Mota, MD
• Gustavo E Oroza-Henners, M.D.
• Claudia Denisse Orozco Vega, MD
• Adriana Orozco-Kellermeier
• Jennifer Marie Orozco, PA-C
• Karina Orozco, LCSW

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.