Machara Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0004170 Issued in FL

Legal business name

MACHARA CHIROPRACTIC INC

Practice address

1643 Stargazer Ter
Sanford, FL 32771-9298

Phone

(386) 479-6429

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bradley M Machara, DC

Title

President

Phone

(386) 479-6429

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1063446292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 STARGAZER TER",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719298",
            "telephone_number": "386-479-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 STARGAZER TER",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719298",
            "telephone_number": "386-479-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACHARA CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MACHARA",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-479-6429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350055647",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Lyle
• Mary J Lynn, MS
• Kelli Lyon, APRN
• Robert Macdonald
• Gianne Macedo Goedert, M.D.
• Machara Chiropractic, Inc.
• Sameh Madanieh, MD
• Kristy J Magee, M.D.
• Magnus Medical Center Inc
• Sarah Mahamadeen, MD

• Chiropractor in Sanford, FL
• Providers in Sanford, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.