Active NPI
Roberta Carlman Machado
- Dentist
- St Petersburg, FL
National Provider Identifier
1427510221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26219
- Practice address
- 4045 Tyrone Blvd N Ste 201
Saint Petersburg, FL 33709-4118 - Phone
- (727) 322-4576
- NPI assigned
- Apr 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26219 | FL | Primary |
Addresses
Primary practice location
4045 Tyrone Blvd N Ste 201
Saint Petersburg, FL 33709-4118
Mailing address
1301 47TH Ave NE
Saint Petersburg, FL 33703-4111
Phone (727) 310-4077
Other practice location 1
4030 Park Blvd N
Pinellas Park, FL 33781-3633
Phone (727) 341-5171
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 |
|---|---|---|---|
| 26219 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625270400000",
"number": "1427510221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 47TH AVE NE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337034111",
"telephone_number": "727-310-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 TYRONE BLVD N STE 201",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337094118",
"telephone_number": "727-322-4576"
}
],
"practiceLocations": [
{
"address_1": "4030 Park Blvd N",
"address_purpose": "LOCATION",
"city": "Pinellas Park",
"state": "FL",
"postal_code": "337813633",
"country_code": "US",
"telephone_number": "727-341-5171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLMAN MACHADO",
"first_name": "ROBERTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2021-07-03",
"certification_date": "2021-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "26219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.