Individual provider Active NPI

Dustin Gorgi, DC

  • Neurology Chiropractor
  • St Johns, FL
National Provider Identifier
1629910583
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
15879 Issued in FL
Practice address
122 Roberts Village CT Ste 1101
St Johns, FL 32259-9576
Phone
(904) 735-1750
NPI assigned
Apr 8, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 15879 FL Primary

Addresses

Primary practice location

122 Roberts Village CT Ste 1101
St Johns, FL 32259-9576

Mailing address

11723 Wells Creek Pkwy Apt 2420
Jacksonville, FL 32256-1991
Phone (904) 735-1878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15879FLMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1629910583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11723 WELLS CREEK PKWY APT 2420",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561991",
            "telephone_number": "904-735-1878",
            "fax_number": "904-735-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ROBERTS VILLAGE CT STE 1101",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322599576",
            "telephone_number": "904-735-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGI",
        "first_name": "DUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "15879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.