Organization Active NPI

Vizzini Chiropractic Clinic

  • Chiropractor
  • Warner Robins, GA
National Provider Identifier
1578744330
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007385 Issued in GA
Legal business name
VIZZINI CHIROPRACTIC CLINIC
Practice address
1437 Watson Blvd
Warner Robins, GA 31093-3435
Phone
(478) 975-9648
Fax
(478) 975-9632
NPI assigned
Nov 21, 2007
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Dr. Richard Paul Vizzini, D.C.NPI 1124194030
Title
President/Owner
Phone
(478) 975-9648

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
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

Other identifiers 1

IdentifierTypeStateIssuer
739157238AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001381 GA Part B Supplier - Clinic/Group Practice 5092793323 Receives reassigned benefits from 1 practitioner
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

1437 Watson Blvd
Warner Robins, GA 31093
Phone (478) 975-9648

2611 Moody Rd
Ste B
Warner Robins, GA 31088
Phone (478) 975-9648

Practitioners & affiliated clinicians

Practitioners 1

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1578744330",
    "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",
            "fax_number": "478-975-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZZINI CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "VIZZINI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "478-975-9648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739157238A",
            "state": "GA"
        }
    ],
    "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 Jun 11, 2021; 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.

Verify at the official NPI Registry.