Philip a Walczak DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHILIP A WALCZAK DDS PLLC

Practice address

9730 3Rd Ave NE Ste 105
Seattle, WA 98115-2023

Phone

(425) 350-8479

NPI assigned

Mar 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Philip Adam Walczak, DDSNPI 1245801174

Title

Owner

Phone

(425) 350-8479

Specialties & licenses 1

Addresses

Other names 1

• Rain City Dentistry Doing business as

Locations

Practitioners 1

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

• Philip A Walczak, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1245801174
  NPD Authorized official

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1497555080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12334 31ST AVE NE APT 608",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "425-350-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A WALCZAK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-350-8479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rain City Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Duke Phelps, M.D.
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• Sonh Phetsomphou, RN
• Phuoc Quang Phi, DMD
• Jamie Michele Phifer, M.D.
• Philip D Welch M.D.
• Philip Farish Psychotherapy PLLC
• Philip G Lindsay MD Inc PS
• Philip R Howard DDS and Tara M Sullivan DDS PLLC
• Philip R. Howard DDS and Tara M. Sullivan DDS, PLLC

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, 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 May 8, 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.