Tran Phi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE61170746 Issued in WA

Practice address

20011 Ballinger Way NE Ste B-100
Shoreline, WA 98155-1286

Phone

(206) 946-6471

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1568046977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182440",
            "telephone_number": "206-834-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20011 BALLINGER WAY NE STE B-100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551286",
            "telephone_number": "206-946-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHI",
        "first_name": "TRAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61170746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Lundin Petschke, ARNP
• Matthew Pettersen, LAT, ATC
• Jammie Pham
• Theresa Bich Ngoc Pham
• Thong Phan
• Thomas Edward Phillips
• Jocelyn Pierce, IBCLC
• Pike Valley Healthcare, Inc.
• Keith R Pike Jr.
• Pinehurst Park Royal Operations, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.