Organization Active NPI

Island House Dental Care, PLLC

  • Dentist
  • Eastsound, WA
National Provider Identifier
1639973092
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ISLAND HOUSE DENTAL CARE, PLLC
Practice address
596 Main St
Eastsound, WA 98245-9111
Phone
(360) 298-9490
NPI assigned
Apr 3, 2025
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Kathleen Haight Wood
Title
Co-Owner
Phone
(360) 298-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

596 Main St
Eastsound, WA 98245-9111

Mailing address

596 Main St
Eastsound, WA 98245-9111
Phone (360) 298-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260223001933 WA DME Supplier - Oral Surgery - Dentist 9537640198 Practice locations: Eastsound, WA

National Provider Directory

National Provider Directory

Locations

596 Main St
Eastsound, WA 98245
Phone (360) 298-9490

Practitioners & affiliated clinicians

Practitioners 1

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1639973092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 MAIN ST",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982459111",
            "telephone_number": "360-298-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 MAIN ST",
            "city": "EASTSOUND",
            "state": "WA",
            "postal_code": "982459111",
            "telephone_number": "360-298-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HOUSE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "HAIGHT WOOD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-298-9490"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastsound, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.