NPIMap

Organization Active NPI

Kaylee Wonder DMD PLLC

Doing business as Wonder Family Dental & Dentures

  • Dental Clinic/Center
  • Poulsbo, WA
National Provider Identifier
1326566241
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60771805 Issued in WA
Legal business name
KAYLEE WONDER DMD PLLC
Doing business as
Wonder Family Dental & Dentures
Practice address
19410 8TH Ave NE Ste 102
Poulsbo, WA 98370-7379
Phone
(360) 779-1566
NPI assigned
Aug 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kaylee Wonder, DMDNPI 1033630165
Title
Dentist Owner
Phone
(360) 779-1566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60771805 WA Primary

Addresses

Primary practice location

19410 8TH Ave NE Ste 102
Poulsbo, WA 98370-7379

Mailing address

19410 8TH Ave NE Ste 102
Poulsbo, WA 98370-7379
Phone (360) 779-1566

Other names 1

  • Wonder Family Dental & Dentures Doing business as

National Provider Directory

National Provider Directory

Locations

19410 8th Ave NE
Ste 102
Poulsbo, WA 98370
Phone (360) 779-1566

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326566241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 8TH AVE NE STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707379",
            "telephone_number": "360-779-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 8TH AVE NE STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707379",
            "telephone_number": "360-779-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLEE WONDER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WONDER",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "360-779-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60771805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonder Family Dental & Dentures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.