Pham Walter PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008539 Issued in WA

Legal business name

PHAM WALTER PLLC

Practice address

12138 Mukilteo Speedway Ste 301
Mukilteo, WA 98275-5738

Phone

(425) 347-4141

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Matthew Hernandez

Title

Director of Operations

Phone

(425) 347-4141

Specialties & licenses 4

Addresses

Other names 2

• Mukilteo Dental Center Doing business as
• Plaza Pointe Dental Specialists Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nhi T Pham, D.D.S.

  • General Practice Dentistry
  • Mukilteo, WA
  • NPI 1063491561
  NPD
• Nicolette Cerisano, D.D.S.

  • Dentist
  • Mukilteo, WA
  • NPI 1548612039
  NPD (past)
• Tiffany Luu-Tran, D.D.S.

  • General Practice Dentistry
  • Mukilteo, WA
  • NPI 1508308594
  NPD (past)
• Kristen Joyce Morris, DDS

  • Dentist
  • Mukilteo, WA
  • NPI 1497078950
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1346636263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12138 MUKILTEO SPEEDWAY STE 301",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755738",
            "telephone_number": "425-347-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12138 MUKILTEO SPEEDWAY STE 301",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755738",
            "telephone_number": "425-347-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12138 Mukilteo Speedway Ste 302",
            "address_purpose": "LOCATION",
            "city": "Mukilteo",
            "state": "WA",
            "postal_code": "982755738",
            "country_code": "US",
            "telephone_number": "425-215-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHAM WALTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "425-347-4141"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008539",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mukilteo Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mukilteo Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plaza Pointe Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arvrin Peralta, DPT
• Rebekah Ann Peralta, LMP
• Mary L Peters, MA, LMHC
• Shannon Michelle Peterson, L.M.P.
• Sara Doll Petry, M.D.
• Lananh Thi Pham, R.C.
• Nhi T Pham, D.D.S.
• Navdeep Singh Phambota, RC
• Randi Pickett, D.C
• Madeline Piediscalzi, ARNP

• General Practice Dentistry in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.