Vintage Family Medicine and Pediatrics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VINTAGE FAMILY MEDICINE AND PEDIATRICS

Practice address

860 Hebron Pkwy Ste 201
Lewisville, TX 75057-5143

Phone

(972) 296-7200

Fax

(214) 730-4281

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret Martinez

Title

Practice Administrator

Phone

(469) 206-2630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Dennis Ochei, M.D.

  • Family Medicine Physician
  • Desoto, TX
  • NPI 1083736326
  Medicare reassignment NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1154945384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 201",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575143",
            "telephone_number": "972-296-7200",
            "fax_number": "214-730-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 201",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575143",
            "telephone_number": "972-296-7200",
            "fax_number": "214-730-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE FAMILY MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-206-2630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elba Jannette Villanueva, OTR
• Rosa Villanueva
• Gregory Villar, M.S.
• Kristen Villeneuve, LMSW
• Vincent C. Igbokwe
• Visionworks Inc
• Visionworks, Inc.
• Vista Ridge Operations, LLC
• Vista Ridge TX LLC
• Mary Vixaisack, LPC

• Family Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.