Organization Active NPI

Wimmer Chiropractic, PC

  • Chiropractor
  • Forest, VA
National Provider Identifier
1972666394
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556254 Issued in VA
Legal business name
WIMMER CHIROPRACTIC, PC
Practice address
2203 Graves Mill Rd
Suite E
Forest, VA 24551-4296
Phone
(434) 845-9000
Fax
(434) 455-2276
NPI assigned
Dec 18, 2006
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. David Wimmer, D.C.NPI 1679569263
Title
President
Phone
(434) 845-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 2

IdentifierTypeStateIssuer
144638OtherVAANTHEM
1799336OtherVICIGNA

National Provider Directory

National Provider Directory

Locations

2203 Graves Mill Rd
Ste E
Forest, VA 24551
Phone (434) 392-9666

4581 S Amherst Hwy
Madison Hts, VA 24572
Phone (434) 845-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1972666394",
    "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": {
        "organization_name": "WIMMER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-845-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "144638",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1799336",
            "state": "VI"
        }
    ],
    "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 May 8, 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.

Verify at the official NPI Registry.