Bryan Fuerst, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61439731 Issued in WA

Practice address

6004 Capitol Blvd SE FL 1
Tumwater, WA 98501-8520

Phone

(360) 522-9070

Fax

(360) 522-9077

NPI assigned

Jun 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bfuerst930744@direct.multicare.org
• Direct secure messaging: bryan.fuerst.1@10575.direct.athenahealth.com

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1457045163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 CAPITOL BLVD SE FL 1",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985018520",
            "telephone_number": "360-522-9070",
            "fax_number": "360-522-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Eastmont",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "98802",
            "country_code": "US",
            "telephone_number": "509-884-9026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Orondo Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-3860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "509-682-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUERST",
        "first_name": "BRYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61439731",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61439731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2249977",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jason Michael Frost
• Abigail Fulton
• Ronelle Funk, LMHCA
• Caleb Staheli Furse, RBT
• Dallas T Gaie
• Katherine V Gallucci, LMP

• General Practice Dentistry in Tumwater, WA
• Providers in Tumwater, 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 Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.