Matthew Thomas Pyfferoen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08693 Issued in IA

Practice address

301 5TH St
Ames, IA 50010-6101

Phone

(515) 232-0994

NPI assigned

Aug 18, 2008

Last updated

Jan 12, 2024By the provider in NPPES

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpyfferone431343@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pyfferoen Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Ames, IA
  • NPI 1891566352
  NPD Authorized official
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1740436070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1884",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500101884",
            "telephone_number": "515-232-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 5TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106101",
            "telephone_number": "515-232-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYFFEROEN",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Deva Prizgintas, LMFT
• Ashlyn Pruitt
• Ellen Elizabeth Przybyszewski, MS RDN LDN
• Carol Putz, LMSW, MSED
• Pyfferoen Pediatric Dentistry, PLLC
• Leslie Harriet Pyle
• Ryan Radke
• Kevin Rahner, DO
• Mary Raman, ARNP
• Semira Ramic, DO

• Pediatric Dentistry in Ames, IA
• Providers in Ames, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.