Active NPI
Zachary Douglas Wilson
- Social Worker
- West Des Moines, IA
National Provider Identifier
1326934076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130458
- Practice address
- 3636 Westown Pkwy Ste 204
West Des Moines, IA 50266-6713 - Phone
- (515) 505-1666
- NPI assigned
- Jun 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130458 | IA | Primary |
Addresses
Primary practice location
3636 Westown Pkwy Ste 204
West Des Moines, IA 50266-6713
Mailing address
228 Miller Ave
Des Moines, IA 50315-7624
Phone (563) 379-6909
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 |
|---|---|---|---|
| 130458 | IA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1326934076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 MILLER AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157624",
"telephone_number": "563-379-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 WESTOWN PKWY STE 204",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502666713",
"telephone_number": "515-505-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ZACHARY",
"middle_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "130458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.