Virtuoso Spine and Joint Carrollton PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

VIRTUOSO SPINE AND JOINT CARROLLTON PLLC

Practice address

4323 N Josey LN Ste 206
Carrollton, TX 75010-4630

Phone

(214) 774-4878

Fax

(213) 444-7213

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Avinash Suresh Chavda, MDNPI 1407210305

Title

Chief Executive Officer

Phone

(214) 883-8303

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Avinash Suresh Chavda, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
  • NPI 1407210305
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Dawn Oard, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1568093805
  Medicare reassignment Care Compare group NPD
• Christina Rene Bell, FNP

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1215563929
  Medicare reassignment NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1497412290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 650444, DEPT 137",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "214-774-4878",
            "fax_number": "213-444-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUOSO SPINE AND JOINT CARROLLTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "CHAVDA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_middle_name": "SURESH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-883-8303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raziabdullah Vidhani
• Vidyasagar Chodimella, MD, Facc, P.a.
• Hope Villarreal
• Jessica Villarreal, PH.D, LPC-S, LMFT
• Shandira Shanty Villatoro
• Hannah Visscher, MS, CCC-SLP
• Malvern Vito
• Bob Vittetoe, DDS
• Patrick Vo, PHARM.D
• Tuan Quoc Vo, D.C.

• Interventional Pain Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.