Active NPI
Ingrid E Machado, DC
- Chiropractor
- Modesto, CA
National Provider Identifier
1891868964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC20690
- Practice address
- 901 N Carpenter Rd
Suite 12
Modesto, CA 95351-1191 - Phone
- (209) 522-1150
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC20690 | CA | Primary |
Addresses
Primary practice location
901 N Carpenter Rd
Suite 12
Modesto, CA 95351-1191
Mailing address
901 N Carpenter Rd
Suite 12
Modesto, CA 95351-1191
Phone (209) 522-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC20690 | Other | CA | STATE LICENSE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891868964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N CARPENTER RD",
"address_2": "SUITE 12",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511191",
"telephone_number": "209-522-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N CARPENTER RD",
"address_2": "SUITE 12",
"city": "MODESTO",
"state": "CA",
"postal_code": "953511191",
"telephone_number": "209-522-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "INGRID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC20690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "DC20690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.