PENINSULA COMMUNITY HEALTH SERVICES
NPI 1497455141
Dentist - General Practice in Bremerton, WA

NPI Status: Active since March 09, 2023

Contact Information

3102 WHEATON WAY
BREMERTON, WA
ZIP 98310
Phone: (360) 377-3776

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About PENINSULA COMMUNITY HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Peninsula Community Health Services, a provider established in Bremerton, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497455141 assigned on March 2023. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jennifer Lynn Kreidler-moss (Ceo)

NPI
1497455141
Provider Name
PENINSULA COMMUNITY HEALTH SERVICES
Entity Type
Organization
Location Address
3102 WHEATON WAY BREMERTON, WA 98310
Location Phone
(360) 377-3776
Mailing Address
PO BOX 960 BREMERTON, WA 98337
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-09-2023
Last Update Date
03-09-2023
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A dentist like Peninsula Community Health Services is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER LYNN KREIDLER-MOSS

Authorized Official Title
CEO
Authorized Official Phone
(360) 478-2366

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NPIMEDICAID (05)WA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497455141
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187851018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 8 + 5 + 1 + 0 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1497455141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316789910 MI MI YOO DDS
Individual
Dentist (General Practice)3102 WHEATON WAY
BREMERTON, WA 98310
(360) 377-3776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497455141, enumerated in the NPI registry as an "organization" on March 09, 2023

The provider is located at 3102 Wheaton Way Bremerton, Wa 98310 and the phone number is (360) 377-3776

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 09, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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