Active NPI
Amy Sue Zurbuchen
- Dental Hygienist
- Chippewa Falls, WI
National Provider Identifier
1306507678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1003672
- Practice address
- 425 W Prairie View Rd
Chippewa Falls, WI 54729-3389 - Phone
- (888) 834-4551
- Fax
- (715) 598-4881
- NPI assigned
- Jan 7, 2022
- Last updated
- Jan 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1003672 | WI | Primary |
Addresses
Primary practice location
425 W Prairie View Rd
Chippewa Falls, WI 54729-3389
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Phone (715) 934-0710
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 |
|---|---|---|---|
| 1003672 | WI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1306507678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15735 W US HIGHWAY 63",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436475",
"telephone_number": "715-934-0710",
"fax_number": "715-598-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W PRAIRIE VIEW RD",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293389",
"telephone_number": "888-834-4551",
"fax_number": "715-598-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZURBUCHEN",
"first_name": "AMY",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "1003672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.