Active NPI
Angelica Maria Machin Hernandez
- Dentist
- Pinellas Park, FL
National Provider Identifier
1053054882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN27141
- Practice address
- 4030 Park Blvd N
Pinellas Park, FL 33781-3633 - Phone
- (727) 341-5171
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN27141 | FL | Primary |
Addresses
Primary practice location
4030 Park Blvd N
Pinellas Park, FL 33781-3633
Mailing address
14234 SW 97TH Ter
Miami, FL 33186-1198
Phone (786) 307-6325
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN27141 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC Smiles, LLC | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1053054882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14234 SW 97TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861198",
"telephone_number": "786-307-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 PARK BLVD N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813633",
"telephone_number": "727-341-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHIN HERNANDEZ",
"first_name": "ANGELICA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.