Individual provider Active NPI

Kristen Joyce Morris, DDS

  • Dentist
  • Mukilteo, WA
National Provider Identifier
1497078950
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 60017064 Issued in WA
Practice address
7928 Mukilteo Speedway
Suite 201
Mukilteo, WA 98275-2607
Phone
(425) 347-4141
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE 60017064 WA Primary

Addresses

Primary practice location

7928 Mukilteo Speedway
Suite 201
Mukilteo, WA 98275-2607

Mailing address

7928 Mukilteo Speedway
Suite 201
Mukilteo, WA 98275-2607
Phone (425) 347-4141

Other names 1

  • Kristen Joyce Walter Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150529000487 WA Order and Referring Only - DentistPractitioner - Dentist 7719207968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 60017064WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pham Walter PLLC Dentist PastSince Oct 21, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1497078950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7928 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 201",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752607",
            "telephone_number": "425-347-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7928 MUKILTEO SPEEDWAY",
            "address_2": "SUITE 201",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752607",
            "telephone_number": "425-347-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KRISTEN",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60017064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WALTER",
            "middle_name": "JOYCE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

Verify at the official NPI Registry.