Organization Active NPI

LC Chiropractic LLC

  • Chiropractor
  • Cooper City, FL
National Provider Identifier
1992472351
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LC CHIROPRACTIC LLC
Practice address
12145 Sheridan St.
Cooper City, FL 33026
Phone
(754) 233-0260
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Julian Lazaro Machado, DC
Title
Owner/Doctor
Phone
(753) 233-0260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

12145 Sheridan St.
Cooper City, FL 33026

Mailing address

1128 SW 146TH Ter
Pembroke Pines, FL 33027-6165
Phone (815) 735-7445

Other identifiers 2

IdentifierTypeStateIssuer
1255828950OtherILNPI
1932730058OtherILNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103003413 FL Part B Supplier - Clinic/Group Practice 0042608481 Receives reassigned benefits from 1 practitioner
Practice locations: Cooper City, FL

National Provider Directory

National Provider Directory

Locations

12145 Sheridan St
Hollywood, FL 33026
Phone (754) 233-0260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1992472351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 SW 146TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276165",
            "telephone_number": "815-735-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12145 SHERIDAN ST.",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "754-233-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "LAZARO",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "753-233-0260",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255828950",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932730058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.