PENINSULA COMMUNITY HEALTH SERVICES
NPI 1679023493
Dentist in Belfair, WA

NPI Status: Active since October 05, 2016

Contact Information

31 NE STATE ROUTE 300
SUITE 200
BELFAIR, WA
ZIP 98528
Phone: (360) 377-3776

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  • Organization
  • Dentist
  • Accepts Insurance

About PENINSULA COMMUNITY HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Peninsula Community Health Services, a provider established in Belfair, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1679023493 assigned on October 2016. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Jennifer Kreidler-moss Pharmd (Ceo)

NPI
1679023493
Provider Name
PENINSULA COMMUNITY HEALTH SERVICES
Entity Type
Organization
Location Address
31 NE STATE ROUTE 300 SUITE 200 BELFAIR, WA 98528
Location Phone
(360) 377-3776
Mailing Address
PO BOX 960 BREMERTON, WA 98337
Mailing Phone
(360) 475-6711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2016
Last Update Date
05-28-2026
Code Navigator

A dentist like Peninsula Community Health Services is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1124Q00000XDental Providers

Dental Hygienist

 
2126800000XDental Providers

Dental Assistant

 
3261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER KREIDLER-MOSS PHARMD

Authorized Official Title
CEO
Authorized Official Phone
(360) 377-3776

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679023493, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 0 + 2 + 6 + 4 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1679023493.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant
31 NE STATE ROUTE 300
BELFAIR, WA 98528
Clinic/Center (Federally Qualified Health Center (FQHC))
31 NE STATE ROUTE 300, SUITE 200
BELFAIR, WA 98528
Pharmacy (Community/Retail Pharmacy)
31 NE STATE ROUTE 300, SUITE 102
BELFAIR, WA 98528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679023493, enumerated as an "organization" on October 05, 2016.

The provider is located at 31 NE STATE ROUTE 300 SUITE 200 BELFAIR, WA 98528 and the phone number is (360) 377-3776.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Humana, Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.