Individual provider Active NPI

Daniel Jacob Vish, D.C.

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1881132082
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13413 Issued in FL
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

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260116002804 FL Practitioner - Chiropractic 0244516367 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CH13413FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nuwave Holistic Health Center PLLC Chiropractor CurrentSince Nov 16, 2025 Accepting new patients
Premier Medical of NJ Past Accepting new patients
Murphy Chiropractic Health Center, LLC Chiropractor PastSince Nov 17, 2025 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.

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.

Verify at the official NPI Registry.