Karen K. Wolf, DDS, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

07945 Issued in IA

Legal business name

KAREN K. WOLF, DDS, INC.

Doing business as

Integrated Periodontics

Practice address

2727 1St Ave SE Ste 3
Cedar Rapids, IA 52402-4844

Phone

(319) 365-6150

Fax

(319) 365-1844

NPI assigned

Jul 22, 2006

Last updated

Dec 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen Kay Wolf, DDSNPI 1912172586

Title

President/Owner

Phone

(319) 352-4784

Specialties & licenses 1

Addresses

Other names 1

• Integrated Periodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Kay Wolf, DDS

  • Periodontics
  • Waverly, IA
  • NPI 1912172586
  NPD Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1902827041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 20TH ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772017",
            "telephone_number": "319-352-4784",
            "fax_number": "319-352-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 1ST AVE SE STE 3",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524024844",
            "telephone_number": "319-365-6150",
            "fax_number": "319-365-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN K. WOLF, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "319-352-4784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "07945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Periodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Kanealy, PT
• Sam Chadwell Kang, O.D. (OPTOMETRIST)
• Karly M. a. Kantarevic, DC
• Amy B Kapler, PAC
• Karen Davis, Lisw LLC
• Joseph Kariuki
• Julie Ann Karlan, RPH
• Kristine Karminski, LMSW
• Kathleen A Kaska, RN
• Michael Justin Kasper, PARAMEDIC

• Periodontics in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.