Peanut Wai-Ping Wong Hattaway, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60284417 Issued in WA

Practice address

16255 NE 87TH St Ste 150
Redmond, WA 98052-7464

Phone

(425) 883-8000

Fax

(425) 883-7580

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: phattaway28447@healthpoint.direct-ci.com

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.

• Lahai Health

  • Public Health Dentistry
  • Lynnwood, WA
  • NPI 1235683194
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1245595669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 NE 87TH ST STE 150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527464",
            "telephone_number": "425-883-8000",
            "fax_number": "425-883-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19820 Scriber Lake Rd",
            "address_2": "Suite #2",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366121",
            "country_code": "US",
            "telephone_number": "206-363-4105 x700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTAWAY",
        "first_name": "PEANUT",
        "middle_name": "WAI-PING WONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60284417",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60284417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phattaway28447@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "16255 NE 87th St Ste 150",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980527464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Erin Hartman
• Lara Jasmine Hartwig, LMT
• Faraha Hasan
• Cheryl Anne Haston, MD
• Devon Hatcher, MA61109301
• Cameron Reid Havens
• Nataliya Hawthorn, FDN-P
• Seth Hayden, M.S.,CCC-SLP
• Annika Hayman, PT, DPT
• Chandni B Hazariwala

• Dentist in Redmond, WA
• Providers in Redmond, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.