Zachery Huybrecht, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6000040 Issued in WI

Practice address

302 N Spring St
Beaver Dam, WI 53916-2044

Phone

(920) 887-1200

NPI assigned

Jul 12, 2022

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

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1477287712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 AUTUMN BLAZE TRL",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535322476",
            "telephone_number": "715-292-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N SPRING ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162044",
            "telephone_number": "920-887-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYBRECHT",
        "first_name": "ZACHERY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lee Holwerda, M.ED CCC-SLP
• Jasmin Rane Horne, LPC-IT
• Jodi Carol Hougan, PTA
• Hailey Hughes
• Katherine Marie Hulbert, LCSW
• Thomas W Hyke, PT
• Ellen Igl
• Ihc Beaver Dam Emergency Physicians, LLC
• Ihc-Beaver Dam Anesthesia and Pain Management Services LLC
• Individual Care Services LLC

• General Practice Dentistry in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• General Practice Dentistry in Wisconsin

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