Individual provider Active NPI

Karen Marie Manookin, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1740449255
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901019411 Issued in MI
Practice address
1011 N University Ave
Room 2008, Box 1078
Ann Arbor, MI 48109-1078
Phone
(734) 615-8606
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901019411 MI Primary

Addresses

Primary practice location

1011 N University Ave
Room 2008, Box 1078
Ann Arbor, MI 48109-1078

Mailing address

5 S Terry Ave
Apt #2
Hardin, MT 59034-2349

Other names 1

  • Dr. Karen Marie Likar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20150127001474 WA Practitioner - Oral Surgery 9436473212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019411MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Nov 22, 2014 Accepting new patients
University of Washington Dentist CurrentSince Nov 22, 2014 Accepting new patients
University of Washington Current Accepting new patients

Locations

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
#357131
Seattle, WA 98195
Phone (206) 221-7182

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Organizations & group practices 3

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1740449255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S TERRY AVE",
            "address_2": "APT #2",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590342349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N UNIVERSITY AVE",
            "address_2": "ROOM 2008, BOX 1078",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091078",
            "telephone_number": "734-615-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOOKIN",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LIKAR",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.