Individual provider Active NPI

Jonathan Volland

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Harbor, WA
National Provider Identifier
1467930545
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE.61279080 Issued in WA
Practice address
Naval Health Clinic Oak Harbor 3475 N Saratoga Street
Oak Harbor, WA 98278-0001
Phone
(206) 941-6300
NPI assigned
Aug 1, 2018
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401416230 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE.61279080 WA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D012630 AZ

Addresses

Primary practice location

Naval Health Clinic Oak Harbor 3475 N Saratoga Street
Oak Harbor, WA 98278-0001

Mailing address

609 Shenandoah St
Portsmouth, VA 23707-2327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210002020 WA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9335648708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Univ of the Pacific Dugoni School of Dentistry, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3305 204TH Ave CT E
Lake Tapps, WA 98391-9021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401416230VAMDDentist
D012630AZMDOral and Maxillofacial Surgery (Dentist)
DE.61279080WAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Solutions LLC Oral and Maxillofacial Surgery Current Accepting new patients
Volland DDS PLLC Oral and Maxillofacial Surgery CurrentSince Oct 30, 2025 Accepting new patients

Locations

444 Ramsay Way
Ste 109
Kent, WA 98032
Phone (206) 653-1793

401 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1848

Interoperability endpoints

  • Direct secure messaging: jonathan.volland@wh.jhie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1467930545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SHENANDOAH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA STREET",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982780001",
            "telephone_number": "206-941-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLAND",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416230",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE.61279080",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D012630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.