Active NPI
Zachary D. Christopherson, D.D.S.
- Dentist
- Cheyenne, WY
National Provider Identifier
1417477241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1473
- Practice address
- 4000 Laramie Street
Cheyenne, WY 82001 - Phone
- (307) 426-4014
- Fax
- (307) 426-4016
- NPI assigned
- Jun 22, 2017
- Last updated
- Jun 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1473 | WY | |
| Dentist | 122300000X | 1473 | WY | Primary |
Addresses
Primary practice location
4000 Laramie Street
Cheyenne, WY 82001
Mailing address
4000 Laramie Street
Cheyenne, WY 82001
Phone (307) 426-4014
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 |
|---|---|---|---|
| 1473 | WY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ZK Dentistry LLC | General Practice | Current | Accepting new patients |
| ZC Dentistry LLC | Past | Accepting new patients |
Locations
4000 Laramie St
Cheyenne, WY 82001
Phone (307) 426-4014
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1417477241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 LARAMIE STREET",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "82001",
"telephone_number": "307-426-4014",
"fax_number": "307-426-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LARAMIE STREET",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "82001",
"telephone_number": "307-426-4014",
"fax_number": "307-426-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHERSON",
"first_name": "ZACHARY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-22",
"last_updated": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1473",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.