Active NPI
Ana Carolina Machado, DDS
- General Practice Dentistry
- Jacksonville, FL
National Provider Identifier
1073199634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN25654
- Practice address
- 9109 Baymeadows Rd Ste 1
Jacksonville, FL 32256-1842 - Phone
- (904) 731-4343
- NPI assigned
- Mar 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN25654 | FL | |
| General Practice Dentistry | 1223G0001X | DN25654 | FL | Primary |
Addresses
Primary practice location
9109 Baymeadows Rd Ste 1
Jacksonville, FL 32256-1842
Mailing address
4424 N Alatamaha St
St Augustine, FL 32092-3684
Phone (512) 822-0063
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 |
|---|---|---|---|
| DN25654 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1073199634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 N ALATAMAHA ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923684",
"telephone_number": "512-822-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9109 BAYMEADOWS RD STE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322561842",
"telephone_number": "904-731-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "ANA",
"middle_name": "CAROLINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25654",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN25654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.