Zachary C Walgenbach DDS SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZACHARY C WALGENBACH DDS SC

Doing business as

Dentistry on Vine

Practice address

700 2ND St Ste 1
Hudson, WI 54016-1985

Phone

(715) 386-2515

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary C Walgenbach, DDSNPI 1629446323

Title

Dentist

Phone

(715) 386-2515

Specialties & licenses 1

Addresses

Other names 1

• Dentistry on Vine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Walgenbach, D.D.S.

  • General Practice Dentistry
  • Hudson, WI
  • NPI 1629446323
  NPD Authorized official

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1366188534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 2ND ST STE 1",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161985",
            "telephone_number": "715-386-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 2ND ST STE 1",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161985",
            "telephone_number": "715-386-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY C WALGENBACH DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "WALGENBACH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "715-386-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry on Vine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mai Chong Yang, LAC.
• Xeing Randy Yang
• Jennifer Yelle
• Brittany Jill Young-Sanchez, PT, DPT
• Gregory L Young, MD
• Curtis James Zachmeier, D.C.
• Zephyr Counseling Services
• Margaret M. Zignego, PT
• Jill Carlson Zimmerman, PH.D., LMFT, LPC

• Dental Clinic/Center in Hudson, WI
• Providers in Hudson, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.