Individual provider Active NPI

Trisha Marie Wimbs, D.C.

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1457655409
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31771 Issued in CA
Practice address
755 Sunrise Ave
Suite 115
Roseville, CA 95661-4500
Phone
(916) 786-6055
Fax
(916) 786-6452
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31771 CA Primary

Addresses

Primary practice location

755 Sunrise Ave
Suite 115
Roseville, CA 95661-4500

Mailing address

755 Sunrise Ave
Suite 115
Roseville, CA 95661-4500
Phone (916) 786-6055

Other practice location 1

27623 468th Ave
Lennox, SD 57039-5335
Phone (530) 906-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111227000542 CA Practitioner - Chiropractic 0244406171 Reassigns benefits to 1 organization
I20230612002988 SD Practitioner - Chiropractic 0244406171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6709 S Minnesota Ave
Suite 203
Sioux Falls, SD 57108-2593
Phone (605) 906-3078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Wellness Center Inc CurrentSince May 3, 2023 Accepting new patients
Russell and Ross Chiropractic Centre Chiropractor CurrentSince Jan 1, 2015 Accepting new patients
CB Medical Center Inc Current Accepting new patients
Roseville Birthing Center Past Accepting new patients

Locations

755 Sunrise Ave
Ste 115
Roseville, CA 95661
Phone (916) 786-6055

6709 S Minnesota Ave
Ste 203
Sioux Falls, SD 57108
Phone (605) 274-2525

Organizations & group practices 4

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1457655409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE",
            "address_2": "SUITE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614500",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SUNRISE AVE",
            "address_2": "SUITE 115",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614500",
            "telephone_number": "916-786-6055",
            "fax_number": "916-786-6452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27623 468th Ave",
            "address_purpose": "LOCATION",
            "city": "Lennox",
            "state": "SD",
            "postal_code": "570395335",
            "country_code": "US",
            "telephone_number": "530-906-6844",
            "fax_number": "605-316-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBS",
        "first_name": "TRISHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.