THE GREENAWALT DHALIWAL LLP
NPI 1255082632
Dentist - Oral and Maxillofacial Surgery in Port Prchard, WA

Active since January 17, 2022
450 S KITSAP BLVD., STE 220, PORT PRCHARD, WA 98366(360) 447-5100 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Greenawalt Dhaliwal Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE GREENAWALT DHALIWAL LLP (NPI 1255082632) is a healthcare organization registered as an oral and maxillofacial surgery in Port Prchard, Washington and active in the NPI registry since January 2022. The organization lists Paul Greenawalt, Partner/owner/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1255082632
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHE GREENAWALT DHALIWAL LLP
Location Address450 S KITSAP BLVD., STE 220Port Prchard, WA 98366
Mailing AddressPo Box 3770Silverdale, WA 98383
Organization SubpartYes
Authorized OfficialPaul GreenawaltPartner/owner/oral Surgeon · (360) 698-9335
Enumeration DateJanuary 17, 2022
NPPES CertifiedJanuary 17, 2022
✔ NPI 1255082632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
450 S KITSAP BLVD., Port Prchard, WA 98366

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Greenawalt Dhaliwal Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Greenawalt Dhaliwal LLP, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Oral Surgery
NPI 1982854006
450 S KITSAP BLVD STE 220
Port Orchard, WA 98366
(360) 447-5100
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1629496161
19503 7TH AVE NE STE 100
Poulsbo, WA 98370
(360) 779-2339
✔ PECOS✔ Accepts Medicare15 mi
Oral Surgery
NPI 1144396763
19503 7TH AVE NE # 100
Poulsbo, WA 98370
(360) 779-2339
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Greenawalt Dhaliwal LLP's NPI number?

The NPI number for The Greenawalt Dhaliwal LLP is 1255082632. It was assigned to this organization in the NPPES registry on January 17, 2022.

Where is The Greenawalt Dhaliwal LLP located?

The Greenawalt Dhaliwal LLP is located at 450 S Kitsap Blvd. Ste 220, Port Prchard, WA 98366. The listed phone number is (360) 447-5100.

What is The Greenawalt Dhaliwal LLP's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is The Greenawalt Dhaliwal LLP enrolled in Medicare?

Yes. The Greenawalt Dhaliwal LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Greenawalt Dhaliwal LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to The Greenawalt Dhaliwal LLP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Greenawalt Dhaliwal LLP accept?

Health plans from UnitedHealthcare list The Greenawalt Dhaliwal LLP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Greenawalt Dhaliwal LLP was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.