Individual provider Active NPI

Alissa Denise Wiggins, DC

  • Chiropractor
  • Trenton, MO
National Provider Identifier
1306832258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006239 Issued in MO
Practice address
1736 E 10TH St
Trenton, MO 64683-2584
Phone
(660) 359-5666
Fax
(660) 359-5667
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006239 MO Primary

Addresses

Primary practice location

1736 E 10TH St
Trenton, MO 64683-2584

Mailing address

1736 E 10TH St
Trenton, MO 64683-2584
Phone (660) 359-5666

Other identifiers 1

IdentifierTypeStateIssuer
758555411MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210002890 KS Practitioner - Chiropractic 0749385102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Overland Park, KS 66204
Phone (660) 358-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006239MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Henson Chiropractic Clinic PA Chiropractor PastSince Jan 2, 1995 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306832258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E 10TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832584",
            "telephone_number": "660-359-5666",
            "fax_number": "660-359-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E 10TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832584",
            "telephone_number": "660-359-5666",
            "fax_number": "660-359-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "ALISSA",
        "middle_name": "DENISE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758555411",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.