Individual provider Active NPI

Lara Tanja Via, M.D.

  • Family Medicine Physician
  • Temple, TX
National Provider Identifier
1609046804
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5731 Issued in TX
Practice address
7556 Honeysuckle
Temple, TX 76508-0002
Phone
(254) 724-4479
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5731 TX Primary

Addresses

Primary practice location

7556 Honeysuckle
Temple, TX 76508-0002

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lvia11448@direct.sw.org
Direct Messaging Address lvia11448@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090521000540 TX Practitioner - Family Practice 3779632765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 31, 2022 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jan 31, 2022 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients

Locations

5800 E Lovers Ln
Dallas, TX 75206
Phone (214) 324-6100

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • Direct secure messaging: lvia11448@direct.sw.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1609046804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 HONEYSUCKLE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080002",
            "telephone_number": "254-724-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIA",
        "first_name": "LARA",
        "middle_name": "TANJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvia11448@direct.sw.org",
            "affiliation": "N",
            "address_1": "7556 Honeysuckle",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvia11448@direct.sw.org",
            "affiliation": "N",
            "address_1": "5800 E Lovers Ln",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752062901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.