Individual provider Active NPI

Karen Weliky, D.M.D.

  • Dentist
  • Milwaukie, OR
National Provider Identifier
1194972687
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6711 Issued in OR
Practice address
2636 SE Harrison St
#B
Milwaukie, OR 97222-7587
Phone
(503) 659-9658
Fax
(503) 513-9597
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D6711 OR Primary

Addresses

Primary practice location

2636 SE Harrison St
#B
Milwaukie, OR 97222-7587

Mailing address

2636 SE Harrison St
#B
Milwaukie, OR 97222-7587
Phone (503) 659-9658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20150930000170 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769790476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S Casebier DMD LLC PastSince Mar 16, 2020 Accepting new patients
Spring Creek Family Dentistry Dentist PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1194972687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 SE HARRISON ST",
            "address_2": "#B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227587",
            "telephone_number": "503-659-9658",
            "fax_number": "503-513-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 SE HARRISON ST",
            "address_2": "#B",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227587",
            "telephone_number": "503-659-9658",
            "fax_number": "503-513-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELIKY",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.