Nhat Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

70028159 Issued in WA

Practice address

4716 212TH St SW Apt 102
Mountlake Terrace, WA 98043-5912

Phone

(714) 422-9073

NPI assigned

Aug 20, 2025

Sex

Male

Sole proprietor

Yes

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1619854528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 212TH ST SW APT 102",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435912",
            "telephone_number": "714-422-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 212TH ST SW APT 102",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435912",
            "telephone_number": "714-422-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHAT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "70028159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Penner, PH.D.
• Katrina Perez Smith
• Christopher J Peterson, PHD, MA, LMHC-A
• Kimberly Peterson, LMHC
• Selina Petschek, CNM
• Kevin R Piasecki, MSPT, OCS
• Mary Rose Toledo Picardal, MSW, LICSW
• Andrea Pierce
• Pinpoint Behavioral Services
• Fortunato Placencia Jr.

• General Practice Dentistry in Mountlake Terrace, WA
• Providers in Mountlake Terrace, 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 Aug 20, 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.