Nathan Elmer Kobold, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11837216-9922 Issued in UT

Practice address

3475 N Saratoga St
Oak Harbor, WA 98278-4927

Phone

(360) 257-9413

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1689282089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 COVE VIEW CIR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982778257",
            "telephone_number": "406-672-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N SARATOGA ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982784927",
            "telephone_number": "360-257-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1562 Mitscher Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235515456",
            "country_code": "US",
            "telephone_number": "757-836-5929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBOLD",
        "first_name": "NATHAN",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "11837216-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Klassen, SLP
• Daniel Wells Klope, DC
• David Erling Klungness, D.C.
• Rudolph H Knaack, MD
• Hudson Knox
• Desirae Koonce, DPT
• Christine Mary Kowalski, P.T.A.
• Grace Kowalski, RN
• Megan Kramer, M.S., CCC-SLP
• Resseya Star Kramer

• Periodontics in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.