Chad J. Wimer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2009013643 Issued in MO

Practice address

808 Winchester Dr
Sedalia, MO 65301-2187

Phone

(660) 826-8844

NPI assigned

Dec 18, 2007

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chad J. Wimer, D.D.S., P.C.

  • General Practice Dentistry
  • Sedalia, MO
  • NPI 1548625312
  NPD Authorized official
• Ghanta Dentistry PA

  dba Maple Park Dental Centre

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1235898214
  NPD (past)
• Warren R. Rensner, D.D.S., PA.

  • Dentist
  • Wichita, KS
  • NPI 1962690586
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1780868455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012187",
            "telephone_number": "660-826-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012187",
            "telephone_number": "660-826-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMER",
        "first_name": "CHAD",
        "middle_name": "J.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60531",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2009013643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Williams
• Tara Marie-Minx Williams
• Katie Marie Wills, CRNA
• Michael Alexander Wilshusen, DPT
• Stanley J Wilson, MD
• Windmiller Dental LLC
• Glory Lynn Windmiller, DDS
• Robin Wollard, FNP
• Womens Health & Surgical Center MDS PC
• Daniel R Woolery, D.O.

• General Practice Dentistry in Sedalia, MO
• Providers in Sedalia, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.