Active NPI
Andrew J Wyman DDS
- General Practice Dentistry
- Oak Harbor, WA
National Provider Identifier
1164370995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ANDREW J WYMAN DDS
- Practice address
- 795 NE Midway Blvd Ste 201
Oak Harbor, WA 98277-2683 - Phone
- (360) 679-3585
- Fax
- (360) 675-2521
- NPI assigned
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Korianne Elizabeth Gheen, RDA
- Title
- Office Manager
- Phone
- (360) 320-9897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
795 NE Midway Blvd Ste 201
Oak Harbor, WA 98277-2683
Mailing address
795 NE Midway Blvd Ste 201
Oak Harbor, WA 98277-2683
Phone (360) 679-3585
National Provider Directory
National Provider DirectoryLocations
795 NE Midway Blvd
Ste 201
Oak Harbor, WA 98277
Phone (360) 679-3585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Oak Harbor, WA
- NPI 1295808277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1164370995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 NE MIDWAY BLVD STE 201",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772683",
"telephone_number": "360-679-3585",
"fax_number": "360-675-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 NE MIDWAY BLVD STE 201",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772683",
"telephone_number": "360-679-3585",
"fax_number": "360-675-2521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW J WYMAN DDS",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "GHEEN",
"authorized_official_first_name": "KORIANNE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-320-9897",
"authorized_official_credential": "RDA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.