Individual provider Active NPI

Thomas Aquinas Maguire, DC

  • Chiropractor
  • Hialeah, FL
National Provider Identifier
1417919937
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4171 Issued in FL
Practice address
2825 E 4TH Ave
Hialeah, FL 33013-3229
Phone
(305) 667-4584
Fax
(305) 693-8362
NPI assigned
Apr 3, 2006
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4171 FL Primary

Addresses

Primary practice location

2825 E 4TH Ave
Hialeah, FL 33013-3229

Mailing address

2825 E 4TH Ave
Hialeah, FL 33013-3229
Phone (305) 667-4584

Other identifiers 1

IdentifierTypeStateIssuer
050376200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000617 FL Practitioner - Chiropractic 3971791815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2825 E 4TH Ave
Hialeah, FL 33013-3229
Phone (305) 693-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4171FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Thomas a Maguire PA Chiropractor CurrentSince Jul 18, 2010 Accepting new patients
Prime Recovery Consultants, Inc Past Accepting new patients

Locations

2825 E 4th Ave
Hialeah, FL 33013
Phone (305) 667-4584

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1417919937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133229",
            "telephone_number": "305-667-4584",
            "fax_number": "305-693-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133229",
            "telephone_number": "305-667-4584",
            "fax_number": "305-693-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "THOMAS",
        "middle_name": "AQUINAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050376200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.