Active NPI
Richard Paul Vizzini, DC
- Chiropractor
- Warner Robins, GA
National Provider Identifier
1124194030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007385
- Practice address
- 1437 Watson Blvd
Warner Robins, GA 31093-3435 - Phone
- (478) 975-9648
- NPI assigned
- Nov 24, 2006
- 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 | CHIR007385 | GA | Primary |
Addresses
Primary practice location
1437 Watson Blvd
Warner Robins, GA 31093-3435
Mailing address
1437 Watson Blvd
Warner Robins, GA 31093-3435
Phone (478) 975-9648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040713000361 | GA | Practitioner - Chiropractic | 4688652910 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007385 | GA | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1124194030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1437 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933435",
"telephone_number": "478-975-9648",
"fax_number": "478-975-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1437 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933435",
"telephone_number": "478-975-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIZZINI",
"first_name": "RICHARD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.