Active NPI
Daniel Jacob Vish, D.C.
- Chiropractor
- St Augustine, FL
National Provider Identifier
1881132082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13413
- Practice address
- 475 W Town PL Ste 115
St Augustine, FL 32092-3649 - Phone
- (904) 679-5406
- Fax
- (904) 679-5586
- NPI assigned
- Feb 8, 2017
- 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 | CH13413 | FL | Primary |
Addresses
Primary practice location
475 W Town PL Ste 115
St Augustine, FL 32092-3649
Mailing address
475 W Town PL Ste 115
Saint Augustine, FL 32092-3649
Phone (904) 679-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
475 W Town PL
Suite 115
Saint Augustine, FL 32092-3649
659 Porta Rosa Cir
Saint Augustine, FL 32092-0456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13413 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuwave Holistic Health Center PLLC | Chiropractor | Current | Accepting new patients |
| Premier Medical of NJ | Past | Accepting new patients | |
| Murphy Chiropractic Health Center, LLC | Chiropractor | Past | Accepting new patients |
| Meridian Spine and Joint, Inc | Chiropractor | Past | Accepting new patients |
Locations
475 W Town Pl
Ste 115
St Augustine, FL 32092
Phone (904) 679-5406
Organizations & group practices 4
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.
-
- Chiropractor
- Saint Augustine, FL
- NPI 1578423455
-
- Chiropractor
- Jacksonville, FL
- NPI 1881326023
-
- Chiropractor
- Saint Augustine, FL
- NPI 1639423551
-
- Cardiovascular Disease Physician
- Clifton, NJ
- NPI 1316724263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1881132082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W TOWN PL STE 115",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320923649",
"telephone_number": "904-679-5406",
"fax_number": "904-679-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W TOWN PL STE 115",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923649",
"telephone_number": "904-679-5406",
"fax_number": "904-679-5586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISH",
"first_name": "DANIEL",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-08",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.