Individual provider Active NPI

Gregory Paul Wimbish, L/CPO

  • Prosthetic/Orthotic Supplier
  • Waxahachie, TX
National Provider Identifier
1417217357
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
451 Issued in TX
Practice address
1626 W Hwy 287 Bus Ste 108
Waxahachie, TX 75165-4728
Phone
(972) 923-2285
Fax
(972) 920-3516
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 451 TX
Prosthetic/Orthotic Supplier 335E00000X 451 TX Primary
Prosthetist 224P00000X 451 TX
Orthotist 222Z00000X 451 TX

Addresses

Primary practice location

1626 W Hwy 287 Bus Ste 108
Waxahachie, TX 75165-4728

Mailing address

105 S Grand Ave
Waxahachie, TX 75165-2221
Phone (972) 923-2285

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

LicenseStateTypeSpecialty
451TXMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Regional Orthodontics & Prosthetics Orthotist CurrentSince Nov 8, 2025 Accepting new patients

Locations

1626 W Highway 287 Business
Ste 108
Waxahachie, TX 75165
Phone (972) 923-2285

105 S Grand Ave
Waxahachie, TX 75165
Phone (972) 437-0623

Organizations & group practices 1

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1417217357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S GRAND AVE",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652221",
            "telephone_number": "972-923-2285",
            "fax_number": "972-920-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W HWY 287 BUS STE 108",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654728",
            "telephone_number": "972-923-2285",
            "fax_number": "972-920-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "L/CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "451",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "451",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "451",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.