Rachel Dianne Madraga

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

08003230A Issued in IN

Practice address

1114 W Cook Rd
Fort Wayne, IN 46825-3214

Phone

(260) 483-5588

Fax

(260) 489-1819

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Edgewood Chiropractic Center PC

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1427260793
  Medicare reassignment NPD

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1558945840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 W COOK RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253214",
            "telephone_number": "260-483-5588",
            "fax_number": "260-489-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W COOK RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253214",
            "telephone_number": "260-483-5588",
            "fax_number": "260-489-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRAGA",
        "first_name": "RACHEL",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IN",
            "license": "08003230A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley E Madak
• Daniel E Maddela, M.D.
• Made to Thrive Mental Health Wellness
• Madhavi Chilakamarri PC
• Alexandra Madigan, MD
• Allen Richard Maertin, DO
• Daryl Gene Nanale Magada, ACNPC-AG
• Miriva Magar, M.D.
• Jayson John Leybag Magbojos, MD
• William M Magda, DPT

• Pediatric Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pediatric Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.