Individual provider Active NPI

Maria Daymar Molina Chacon, SA-C

  • Surgical Assistant
  • New Port Richey, FL
National Provider Identifier
1225760978
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
22-318 Issued in FL
Practice address
6336 Garvey Dr Apt B
New Port Richey, FL 34652-2135
Phone
(727) 271-9844
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 22-318 FL Primary

Addresses

Primary practice location

6336 Garvey Dr Apt B
New Port Richey, FL 34652-2135

Mailing address

6336 Garvey Dr Apt B
New Port Richey, FL 34652-2135
Phone (727) 271-9844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daymarlibra30@hotmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
22-318FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1225760978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 GARVEY DR APT B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522135",
            "telephone_number": "727-271-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 GARVEY DR APT B",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522135",
            "telephone_number": "727-271-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA CHACON",
        "first_name": "MARIA",
        "middle_name": "DAYMAR",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "22-318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daymarlibra30@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Msg",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HR",
            "address_1": "6336 Garvey Dr Apt B",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346522135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.