Active NPI
Jessica Kowalczyk
- General Practice Dentistry
- Wenatchee, WA
National Provider Identifier
1134040405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 70133357
- Practice address
- 214 2ND St
Wenatchee, WA 98801-2197 - Phone
- (509) 663-4709
- NPI assigned
- Jul 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 70133357 | WA | Primary |
Addresses
Primary practice location
214 2ND St
Wenatchee, WA 98801-2197
Mailing address
5342 S Newland Ave
Chicago, IL 60638-1127
Other practice location 1
746 F St SW
Quincy, WA 98848-1370
Phone (509) 787-1507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip E Harrison DDS PS | Past | Accepting new patients | |
| Paul Y Kwon, DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Wenatchee, WA
- NPI 1306733654
-
- Dental Clinic/Center
- Wenatchee, WA
- NPI 1255545802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1134040405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5342 S NEWLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606381127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 2ND ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012197",
"telephone_number": "509-663-4709"
}
],
"practiceLocations": [
{
"address_1": "746 F St SW",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "WA",
"postal_code": "988481370",
"country_code": "US",
"telephone_number": "509-787-1507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOWALCZYK",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "70133357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.