Karen Kay Wolf, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

07945 Issued in IA

Practice address

203 20TH St NW
Willow Lawn Mall
Waverly, IA 50677-2017

Phone

(319) 352-4784

Fax

(319) 352-4782

NPI assigned

Apr 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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.

• Karen K. Wolf, DDS, Inc.

  • Periodontics
  • Cedar Rapids, IA
  • NPI 1902827041
  NPD Authorized official
• Cedar Rapids Periodontics & Dental Implants

  • Periodontics
  • Cedar Rapids, IA
  • NPI 1043871411
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1912172586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 20TH ST NW",
            "address_2": "WILLOW LAWN MALL",
            "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": "203 20TH ST NW",
            "address_2": "WILLOW LAWN MALL",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772017",
            "telephone_number": "319-352-4784",
            "fax_number": "319-352-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "07945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Mae Westhoff, OTR
• Meagan Wiggins
• Lucinda Lew Wilkinson, SLP
• Melissa Jane Wittenburg, M.S.O.T.
• Nathaniel Woeste, OD
• Wolfe Clinic Eye Centers, LC
• Jonathan D Wolff, M.S.P.T.
• Samantha Jo Wolff, ARNP, PMHNP-BC
• Woltz Physical Therapy PC
• Jon Woltz, PT

• Periodontics in Waverly, IA
• Providers in Waverly, 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.
• 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.