Paul B Greenawalt, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8080 Issued in WA

Practice address

9576 Ridgetop Blvd NW
#103
Silverdale, WA 98383-8554

Phone

(360) 698-9335

Fax

(360) 698-9385

NPI assigned

Dec 15, 2006

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Greenawalt Dhaliwal LLP

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Poulsbo, WA
  • NPI 1467655548

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700948551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3770",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833770",
            "telephone_number": "360-698-9335",
            "fax_number": "360-698-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW",
            "address_2": "#103",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "360-698-9335",
            "fax_number": "360-698-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENAWALT",
        "first_name": "PAUL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "8080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Patrick Grady, PA-C
• Ayla Rose Grant
• Briana Jade Graves
• Christie Green, CDP, LMHC
• Marlyn Daza Green, HIS
• Michael Jason Greenberg, PSY.D
• Lydia M Greenwalt, PT
• Greggory S. Wilde, DDS, PS
• Shannon D Gregory
• Amie Maude Greist, LMHC

• Oral and Maxillofacial Surgery (Dentist) in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.