Individual provider Active NPI

Maceo B Powell, D.C.

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1336365667
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-7710 Issued in FL
Practice address
3015 SW Pine Island Rd Ste 111
Cape Coral, FL 33991-1704
Phone
(239) 558-5866
NPI assigned
Apr 17, 2007
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH-7710 FL Primary

Addresses

Primary practice location

3015 SW Pine Island Rd Ste 111
Cape Coral, FL 33991-1704

Mailing address

5317 Fruitville Rd # 52
Sarasota, FL 34232-6402
Phone (941) 780-6053

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-7710FLMDChiropractor

Interoperability endpoints

  • Direct secure messaging: maceo.powell.1@31266.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1336365667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 FRUITVILLE RD # 52",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326402",
            "telephone_number": "941-780-6053",
            "fax_number": "941-927-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SW PINE ISLAND RD STE 111",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911704",
            "telephone_number": "239-558-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MACEO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-7710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.