Organization Active NPI

Kelly R Garwood DDS PLLC

  • Dentist
  • North Bend, WA
National Provider Identifier
1528925815
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KELLY R GARWOOD DDS PLLC
Practice address
142 Main Ave N
North Bend, WA 98045-8280
Phone
(425) 888-0867
Fax
(425) 888-6585
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. Kelly Rae Garwood, DDSNPI 1922028935
Title
Owner
Phone
(425) 888-0867

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

142 Main Ave N
North Bend, WA 98045-8280

Mailing address

PO Box 372
North Bend, WA 98045-0372
Phone (425) 888-0867

National Provider Directory

National Provider Directory

Locations

142 Main Ave N
North Bend, WA 98045
Phone (425) 888-0867

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": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1528925815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980450372",
            "telephone_number": "425-888-0867",
            "fax_number": "425-888-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MAIN AVE N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458280",
            "telephone_number": "425-888-0867",
            "fax_number": "425-888-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY R GARWOOD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "GARWOOD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-888-0867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.