Individual provider Active NPI

Maria Radcliffe Machado, DC

  • Chiropractor
  • Cooper City, FL
National Provider Identifier
1255828950
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12876 Issued in FL
Practice address
12145 Sheridan St.
Cooper City, FL 33026
Phone
(754) 233-0260
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12876 FL Primary
Chiropractor 111N00000X 038013206 IL

Addresses

Primary practice location

12145 Sheridan St.
Cooper City, FL 33026

Mailing address

12145 Sheridan St.
Cooper City, FL 33026
Phone (754) 233-0260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122003145 FL Practitioner - Chiropractic 9335485275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12145 Sheridan St
Hollywood, FL 33026-1400
Phone (754) 233-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12876FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LC Chiropractic LLC Chiropractor CurrentSince Oct 1, 2021 Accepting new patients

Locations

12145 Sheridan St
Hollywood, FL 33026
Phone (754) 233-0260

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": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1255828950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12145 SHERIDAN ST.",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "754-233-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12145 SHERIDAN ST.",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "754-233-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE MACHADO",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12876",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.