Rick Lee Kavorik, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13909 Issued in MI

Practice address

725 Cedar Bluff Dr
Houghton, MI 49931-1959

Phone

(906) 482-2020

Fax

(906) 482-2041

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Keweenaw Dental

  • Dental Clinic/Center
  • Houghton, MI
  • NPI 1407473556
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922175959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CEDAR BLUFF DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311959",
            "telephone_number": "906-482-2020",
            "fax_number": "906-482-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CEDAR BLUFF DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311959",
            "telephone_number": "906-482-2020",
            "fax_number": "906-482-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVORIK",
        "first_name": "RICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1574472",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Sue Johnson, R.N.
• Katharine Johnson, PT
• Rebecca B Johnson, D.D.S.
• Shalini Johnson, M.D.
• Lance Kangas
• Deborah Ann Kemppainen, R.N.
• Annette Kristiin Keranen, PTA
• Keweenaw Counseling Services PLLC
• Keweenaw Dental
• Angela Kilpela

• General Practice Dentistry in Houghton, MI
• Providers in Houghton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.