Organization Active NPI

Joseph Vistitsky DC PA

  • Chiropractor
  • Navarre, FL
National Provider Identifier
1982070322
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11516 Issued in FL
Legal business name
JOSEPH VISTITSKY DC PA
Practice address
7552 Navarre Pkwy Unit 5
Navarre, FL 32566-7312
Phone
(850) 714-7624
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Joseph Vistitsky, D.C.
Title
President
Phone
(850) 714-7624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11516 FL Primary

Addresses

Primary practice location

7552 Navarre Pkwy Unit 5
Navarre, FL 32566-7312

Mailing address

1842 Sod Dr
Fort Walton Beach, FL 32547-3409
Phone (850) 714-7624

National Provider Directory

National Provider Directory

Locations

203 Cloverdale Blvd
Fl 2
Fort Walton Beach, FL 32547
Phone (850) 714-7624

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1982070322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 SOD DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473409",
            "telephone_number": "850-714-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 5",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667312",
            "telephone_number": "850-714-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH VISTITSKY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "VISTITSKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-714-7624",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.