KITSAP OMS
NPI 1467655548
Oral & Maxillofacial Surgery in Poulsbo, WA

Active since June 07, 2007
19503 7TH AVE NE, POULSBO, WA 98370(360) 779-2339(360) 779-6475 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2017, Jan 18, 2017 (2 updates tracked since 2017).

About Kitsap Oms NPPES

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

KITSAP OMS (NPI 1467655548) is a healthcare organization registered as an oral & maxillofacial surgery in Poulsbo, Washington and active in the NPI registry since June 2007. The organization lists Paul B Greenawait, Partner, as its authorized official.

NPPES Registry Identity

NPI1467655548
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameTHE GREENAWALT DHALIWAL LLP
Location Address19503 7TH AVE NEPoulsbo, WA 98370
Mailing AddressPo Box 3770Silverdale, WA 98383 · (360) 698-9335 · Fax (360) 698-9385
Fax(360) 779-6475
Organization SubpartNo
Authorized OfficialPaul B GreenawaitPartner · (360) 698-9335
Enumeration DateJune 7, 2007
Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration
✔ NPI 1467655548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 8080 (WA)
19503 7TH AVE NE, Poulsbo, WA 98370

Other Names 1

Doing Business AsKitsap Oms

Other Identifiers 3

Medicare UPINU71903WA
Medicare UPINU42162WA
Other115138600WA · Medicare Id#

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)

Kitsap Oms 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 Kitsap Oms, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Oral Surgery
NPI 1144396763
19503 7TH AVE NE # 100
Poulsbo, WA 98370
(360) 779-2339
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1629496161
19503 7TH AVE NE STE 100
Poulsbo, WA 98370
(360) 779-2339
✔ PECOS✔ Accepts Medicare0.1 mi
Oral Surgery
NPI 1982854006
450 S KITSAP BLVD STE 220
Port Orchard, WA 98366
(360) 447-5100
✔ 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 1467655548. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider is doing business as Kitsap Oms.

Where is The Greenawalt Dhaliwal LLP located?

The Greenawalt Dhaliwal LLP is located at 19503 7th Ave NE, Poulsbo, WA 98370. The listed phone number is (360) 779-2339.

What is The Greenawalt Dhaliwal LLP's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Greenawalt Dhaliwal LLP accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and 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 February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.