Dane R Wimmer, MD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34162 Issued in CA

Practice address

1300 S Pacific Coast Hwy Ste 201
Redondo Beach, CA 90277-5003

Phone

(310) 543-7779

NPI assigned

May 10, 2018

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1114417623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S PACIFIC COAST HWY STE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775003",
            "telephone_number": "310-543-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "DANE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Williams-Brown, MS
• Isabella Elena Williams, LMFT, ATR
• Kaegun Williams
• Kristen Kay Williams, M.S.W.
• Mark H Williams, O.D.
• Diane Wing
• Brenna Winkle, MFT
• Christine Winkler, PH.D. MFT
• Randy Jo Winston-Hillier, LMFT
• Carol Gulyas Wintrode, LMFT

• Chiropractor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.