NPIMap

Organization Active NPI

Peninsula Community Health Services

  • Dentist
  • Port Orchard, WA
National Provider Identifier
1588041701
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PENINSULA COMMUNITY HEALTH SERVICES
Practice address
1950 Pottery Ave
Suite 170
Port Orchard, WA 98366-2592
Phone
(360) 478-2366
Fax
(360) 373-2096
NPI assigned
Apr 27, 2015
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Jennifer Lynn Kreidler-MossNPI 1194839761
Title
Ceo
Phone
(360) 377-3776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

1950 Pottery Ave
Suite 170
Port Orchard, WA 98366-2592

Mailing address

PO Box 960
Bremerton, WA 98337-0212
Phone (360) 377-3776

Other names 1

  • PCHS Other name

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Community Health Services50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Locations

31 NE State Route 300
Belfair, WA 98528

1400 NE McWilliams Rd
Bremerton, WA 98311
Phone (360) 662-1075

1500 13th St
Bremerton, WA 98337
Phone (360) 473-0800

7077 Stampede Blvd NW
Rm H14
Bremerton, WA 98311

11901 137th Ave NW
Ste A
Gig Harbor, WA 98329

11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696

26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346

1950 Pottery Ave
Ste 170
Port Orchard, WA 98366
Phone (360) 478-2366

19917 7th Ave NE
Ste 25
Poulsbo, WA 98370

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1588041701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983370212",
            "telephone_number": "360-377-3776",
            "fax_number": "360-373-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE",
            "address_2": "SUITE 170",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662592",
            "telephone_number": "360-478-2366",
            "fax_number": "360-373-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "KREIDLER-MOSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-377-3776"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.