Zachary Paul Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06838 Issued in IA

Practice address

751 Progress Ave
Waterloo, IA 50701-3108

Phone

(319) 232-5366

Fax

(319) 232-5370

NPI assigned

May 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1306896881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 PROGRESS AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013108",
            "telephone_number": "319-232-5366",
            "fax_number": "319-232-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PROGRESS AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013108",
            "telephone_number": "319-232-5366",
            "fax_number": "319-232-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ZACHARY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485664",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485672",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Willy, DENTIST DDS
• Wilson Family Chiropractic Center Inc.
• Angela Wilson-Anderson, LMSW
• Dexter E. Wilson, OD
• Stacy Caye Wilson
• Abigail Renee Winder
• Kerry R Winkel, RN
• Michael Jay Wirth, DDS
• Emily Wolf, CNM
• Heidi Louise Wolfe, PHARMD.

• Chiropractor in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.