Organization Active NPI

Andrew J Wyman DDS

  • General Practice Dentistry
  • Oak Harbor, WA
National Provider Identifier
1164370995
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 18, 2026

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.