Karen Ann O'Rourke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901014123 Issued in MI

Practice address

4250 Kalamazoo Ave SE
Grand Rapids, MI 49508-3607

Phone

(616) 455-7930

Fax

(616) 455-9952

NPI assigned

Jun 15, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

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 a O Rourke DDS PC

  • Dentist
  • Grand Rapids, MI
  • NPI 1013099092
  NPD (past) Authorized official
• Orourke and Wonderly Dental

  • Dentist
  • Grand Rapids, MI
  • NPI 1073153979
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1952306128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083607",
            "telephone_number": "616-455-7930",
            "fax_number": "616-455-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083607",
            "telephone_number": "616-455-7930",
            "fax_number": "616-455-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901014123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "383123607",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen R O'Neil, D.O.
• Edward O'Neill
• Rylee O'Neill, LLMSW
• Gail Ann O'Rourke, M.A., CCC-SLP
• Isaac David O'Rourke
• Katherine Mary O'Rourke, MD
• Lois Anne O'Rourke, PA-C
• Micaela Kathryn O'Rourke, PA-C
• Ryan O'Rourke
• Timothy J O'Rourke, M.D.

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, 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 Sep 21, 2012; 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.