Individual provider Active NPI

Tiffany Luu-Tran, D.D.S.

  • General Practice Dentistry
  • Mukilteo, WA
National Provider Identifier
1508308594
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60706000 Issued in WA
Practice address
7928 Mukilteo Speedway Ste 201
Mukilteo, WA 98275-2607
Phone
(425) 347-4141
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60706000 WA
General Practice Dentistry 1223G0001X DE60706000 WA Primary

Addresses

Primary practice location

7928 Mukilteo Speedway Ste 201
Mukilteo, WA 98275-2607

Mailing address

7928 Mukilteo Speedway Ste 201
Mukilteo, WA 98275-2607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60706000WAMDGeneral Practice Dentistry

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1508308594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7928 MUKILTEO SPEEDWAY STE 201",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7928 MUKILTEO SPEEDWAY STE 201",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982752607",
            "telephone_number": "425-347-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU-TRAN",
        "first_name": "TIFFANY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60706000",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60706000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.