Individual provider Active NPI

John Anthony Vizzini

  • Chiropractor
  • Naples, FL
National Provider Identifier
1558808014
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12062 Issued in FL
Practice address
5644 Tavilla Cir
Naples, FL 34110-3362
Phone
(239) 325-8226
NPI assigned
Jan 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12062 FL Primary

Addresses

Primary practice location

5644 Tavilla Cir
Naples, FL 34110-3362

Mailing address

5644 Tavilla Cir
Suite 104
Naples, FL 34110
Phone (239) 325-8226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625001380 NC Practitioner - Chiropractic 9032443098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Chiropractic and Health CenterGroup PAC ID 6305218959, 2 clinicians

Practice addresses (Care Compare)

222 W Ctr St
Lexington, NC 27292-3012
Phone (336) 265-6708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12062FLMDChiropractor
5056NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinic of Chiropractic PLLC Chiropractor CurrentSince Jul 1, 2019 Accepting new patients
Apex Chiropractic & Health Center Chiropractor CurrentSince Jan 1, 2023 Accepting new patients

Locations

222 W Center St
Lexington, NC 27292
Phone (336) 265-6708

630 National Hwy
Thomasville, NC 27360
Phone (336) 475-8157

Organizations & group practices 2

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1558808014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 TAVILLA CIR",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-325-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 TAVILLA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341103362",
            "telephone_number": "239-325-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZZINI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.