Active NPI
Gary David Pyfer, D.D.S.
- Dentist
- Shoreline, WA
National Provider Identifier
1790789162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4974
- Practice address
- 330 NW Richmond Beach Rd
Shoreline, WA 98177-3120 - Phone
- (206) 542-7494
- Fax
- (206) 542-7495
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4974 | WA | Primary |
Addresses
Primary practice location
330 NW Richmond Beach Rd
Shoreline, WA 98177-3120
Mailing address
330 NW Richmond Beach Rd
Shoreline, WA 98177-3120
Phone (206) 542-7494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5514500 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4974 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790789162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 NW RICHMOND BEACH RD",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773120",
"telephone_number": "206-542-7494",
"fax_number": "206-542-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 NW RICHMOND BEACH RD",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773120",
"telephone_number": "206-542-7494",
"fax_number": "206-542-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYFER",
"first_name": "GARY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "4974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5514500",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.