Active NPI
David Wimmer, D.C.
- Chiropractor
- Forest, VA
National Provider Identifier
1679569263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556254
- Practice address
- 2203 Graves Mill Rd
Suite E
Forest, VA 24551-4296 - Phone
- (434) 845-9000
- Fax
- (434) 455-2276
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556254 | VA | Primary |
Addresses
Primary practice location
2203 Graves Mill Rd
Suite E
Forest, VA 24551-4296
Mailing address
2203 Graves Mill Rd
Suite E
Forest, VA 24551-4296
Phone (434) 845-9000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1799336 | Other | VA | CIGNA |
| 144638 | Other | VA | ANTHEM |
| P00137284 | Other | VA | RAILROAD MEDICARE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wimmer Chiropractic, PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Forest, VA
- NPI 1972666394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1679569263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 GRAVES MILL RD",
"address_2": "SUITE E",
"city": "FOREST",
"state": "VA",
"postal_code": "245514296",
"telephone_number": "434-845-9000",
"fax_number": "434-455-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 GRAVES MILL RD",
"address_2": "SUITE E",
"city": "FOREST",
"state": "VA",
"postal_code": "245514296",
"telephone_number": "434-845-9000",
"fax_number": "434-455-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMMER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1799336",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "144638",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00137284",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.