Individual provider Active NPI

Madison Mastro, DC

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1003655093
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15022 Issued in FL
Practice address
100 NW 100TH Ave
Plantation, FL 33324-7008
Phone
(954) 472-7975
Fax
(954) 472-7941
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15022 FL Primary

Addresses

Primary practice location

100 NW 100TH Ave
Plantation, FL 33324-7008

Mailing address

4035 NW 70TH Ave
Coral Springs, FL 33065-2241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624001072 FL Practitioner - Chiropractic 7315480936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Healthcare IncGroup PAC ID 7911155163, 8 clinicians

Practice addresses (Care Compare)

100 NW 100TH Ave
Plantation, FL 33324-7008
Phone (954) 472-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15022FLMDChiropractor

Practice roles (1 of 11)

OrganizationSpecialtyStatusNew patients
Real Healthcare, Inc. Chiropractor CurrentSince May 18, 2024 Accepting new patients

Locations

100 NW 100th Ave
Plantation, FL 33324
Phone (954) 472-7975

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • AL HMO
  • AL HMO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO D-SNP

Organizations & group practices 1

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1003655093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 NW 70TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 100TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247008",
            "telephone_number": "954-472-7975",
            "fax_number": "954-472-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRO",
        "first_name": "MADISON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.