Vidabuenamed, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VIDABUENAMED, PLLC

Doing business as

DFW Interventional Pain Institute

Practice address

1110 Cottonwood LN Ste 150
Irving, TX 75038-6117

Phone

(469) 648-3832

Fax

(469) 648-3812

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Edrick Lopez, MDNPI 1346556784

Title

Owner

Phone

(469) 648-3832

Specialties & licenses 2

Addresses

Other names 1

• DFW Interventional Pain Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edrick Eugenio Lopez, M.D., J.D.

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
  • NPI 1346556784
  Medicare reassignment Care Compare group NPD Authorized official
• Lois Palaparthi, PA-C

  • Medical Physician Assistant
  • Irving, TX
  • NPI 1427925395
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1356034755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "469-648-3832",
            "fax_number": "469-648-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "469-648-3832",
            "fax_number": "469-648-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDABUENAMED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-648-3832",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Interventional Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanuelle Vicens
• Noreen Vickrey, PH.D.
• Josephine Victor
• Victory Five Healthcare Inc
• Vida Dental PLLC
• Anne A Vidacovich, LCSW
• Vielma Vision Eyecare
• Vielma Vision Eyecare Inc
• Thomas R Vielma, OD
• Derrick Vier, DC

• Physical Medicine & Rehabilitation Physician in Irving, TX
• Providers in Irving, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.