Individual provider Active NPI

Joshua D Pickett, DC

  • Chiropractor
  • Navarre, FL
National Provider Identifier
1376733030
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9374 Issued in FL
Practice address
1816 Alpine Dr
Navarre, FL 32566-7695
Phone
(850) 939-3339
Fax
(850) 939-1605
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X CH9374 FL
Rehabilitation Chiropractor 111NR0400X CH9374 FL
Massage Therapist 225700000X FL
Chiropractor 111N00000X CH 9374 FL Primary
Independent Medical Examiner Chiropractor 111NI0013X CH9374 FL

Addresses

Primary practice location

1816 Alpine Dr
Navarre, FL 32566-7695

Mailing address

1816 Alpine Dr
Navarre, FL 32566-7695
Phone (850) 939-3339

Other identifiers 3

IdentifierTypeStateIssuer
001050200MedicaidFL
64346OtherFLBCBS OF FLORIDA
PICKCHIRO7OtherOPTUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000445 FL Practitioner - Chiropractic 8527141894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1816 Alpine Dr
Navarre, FL 32566-7695
Phone (850) 939-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9374FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Navarre Chiropractic Center, Inc Current Accepting new patients
Joshua D Pickett DC PA Chiropractor CurrentSince Nov 12, 2008 Accepting new patients
Renfroe Spinal Center LLC Chiropractor Past Accepting new patients

Locations

1816 Alpine Dr
Navarre, FL 32566
Phone (850) 936-8664

Organizations & group practices 3

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1376733030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 ALPINE DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667695",
            "telephone_number": "850-939-3339",
            "fax_number": "850-939-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 ALPINE DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667695",
            "telephone_number": "850-939-3339",
            "fax_number": "850-939-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH9374",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9374",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9374",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH9374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001050200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "64346",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "PICKCHIRO7",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.