Individual provider Active NPI

William R Trimmer, M.D.

  • Specialist
  • Reno, NV
National Provider Identifier
1760499263
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4778 Issued in NV
Practice address
4355 Juniper TRL
Reno, NV 89519-2987
Phone
(775) 786-9051
Fax
(775) 827-5170
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4778 NV Primary

Addresses

Primary practice location

4355 Juniper TRL
Reno, NV 89519-2987

Mailing address

4355 Juniper TRL
Reno, NV 89519-2987
Phone (775) 815-1867

Other identifiers 1

IdentifierTypeStateIssuer
002016714MedicaidNV

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1760499263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 JUNIPER TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895192987",
            "telephone_number": "775-815-1867",
            "fax_number": "775-827-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 JUNIPER TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895192987",
            "telephone_number": "775-786-9051",
            "fax_number": "775-827-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMMER",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "4778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016714",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.